Individual
DR. LESLIE G BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135-40 78TH DR, FLUSHING, NY 11367-3236
(718) 380-8500
(718) 380-1436
Mailing address
135-40 78TH DR, FLUSHING, NY 11367-3236
(718) 380-0411
(718) 380-1436
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
120795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00226724
—
NY
01
—
190693
UNITED HEALTHCARE
NY
01
—
92000467
OXFORD
NY
Enumeration date
04/26/2006
Last updated
07/08/2007
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