Individual
CHRISTINA ALEXIS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
(315) 470-2691
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
338842
NY
208M00000X
Hospitalist Physician
Primary
338842
NY
Other
Enumeration date
04/05/2022
Last updated
12/10/2025
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