Organization
LESLIE BENNETT MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE BENNETT MD (PRESIDENT)
(718) 380-0411
Entity
Organization
Contact information
Practice address
13540 78TH DR, FLUSHING, NY 11367-3236
(718) 380-0411
(718) 380-0411
Mailing address
13540 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
—
1487610556
NPI
NY
Enumeration date
03/23/2010
Last updated
03/23/2010
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