Individual
JANE S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7020
Mailing address
2263 S CLINTON AVE, ROCHESTER, NY 14618-2623
(585) 241-6400
(585) 241-6505
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
198049
NY
Other
Enumeration date
06/22/2006
Last updated
12/09/2013
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