Individual
ERESHA CAROLYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
738 DREW ST, BROOKLYN, NY 11208-4205
(347) 320-5017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
675616
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421409
NY
Other
Enumeration date
01/21/2014
Last updated
05/12/2023
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