Individual
GARRETT H. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 E 61ST ST, SUITE 7C, NEW YORK, NY 10065-8183
(212) 980-2600
(212) 991-3009
Mailing address
115 E 61ST ST, SUITE 7C, NEW YORK, NY 10065-8183
(212) 980-2600
(212) 991-3009
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
219211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02656504
—
NY
Enumeration date
11/14/2006
Last updated
10/10/2012
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