Individual
CHERYL-LISA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 125TH ST, WARDS ISLAND, NEW YORK, NY 10035
(212) 369-0500
Mailing address
600 E 125TH ST, WARDS ISLAND, NEW YORK, NY 10035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P53805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P53805
—
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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