Individual
DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 N MAIN ST, NORTH SYRACUSE, NY 13212-1669
(315) 937-5954
Mailing address
304 SANDRA LN, NORTH SYRACUSE, NY 13212-2906
(607) 768-9486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032440
NY
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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