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Kelly Bennet
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1992260558

Kelly Bennet is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Kelly Bennet practices in Coram, NY. The NPI Number for Kelly Bennet is 1992260558 and holds a License No. (New York).

The current practice location address for Kelly Bennet is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8800 and via fax at 631-920-8162.

Location: 3600 Route 112, Coram, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992260558
Provider Name
Kelly Bennet
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11351-3000
Phone Number
631-920-8800
Fax Number
631-920-8162
Provider Enumeration Date
02/07/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03299096 05 NY
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8800
Fax Number
631-920-8162
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8800
Fax Number
631-920-8162
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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