Individual
EDWARD STEVEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13912 73RD TER, FLUSHING, NY 11367-2306
(646) 623-3350
(888) 290-8778
Mailing address
13912 73RD TER, FLUSHING, NY 11367-2306
(646) 623-3350
(888) 290-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751393
—
NY
Enumeration date
07/24/2006
Last updated
10/23/2025
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