Individual
MS. FARRON C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
(315) 824-2033
Mailing address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
(315) 824-2033
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011569
LICENSE
NY
Enumeration date
11/21/2006
Last updated
07/08/2007
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