Individual
DR. JEAN E. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
663 E 243RD ST, BRONX, NY 10470-1054
(718) 519-8731
(718) 519-8731
Mailing address
4550 CARPENTER AVE, BRONX, NY 10470-1420
(718) 324-1262
(718) 325-2259
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
221118-1
NY
Other
Enumeration date
09/01/2017
Last updated
09/14/2017
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