Bennett, Genevieve Louise

Bennett, Genevieve Louise is an individual health care provider with primary practice located at 300 Community Dr Fl 1 , Manhasset NY 11030-3816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bennett, Genevieve Louise can be contacted via phone (516) 562-4800.

Contact Information

Primary practice address
300 Community Dr Fl 1 Manhasset NY 11030-3816
Fax: (516) 562-4794
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 202676 New York

Profile Details

NPI number 1255395315
LBN Legal business name Bennett, Genevieve Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255395315 NPPES
New York MEDICAID 01676324

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