Individual
MRS. BETH SARA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTRL
Contact information
Practice address
620 CENTRAL AVE, CEDARHURST, NY 11516-2303
(516) 569-3083
(516) 374-1185
Mailing address
620 CENTRAL AVE, CEDARHURST, NY 11516-2303
(516) 569-3083
(516) 374-1185
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
0129271
NY
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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