Organization
EDWARD S BENNETT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BENNETT MD (PROVIDER AND OWNER)
(646) 623-3350
Entity
Organization
Contact information
Practice address
13912 73RD TER, FLUSHING, NY 11367-2306
(646) 623-3350
Mailing address
13540 78TH DR, FLUSHING, NY 11367-3236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
06/25/2025
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