Bennett, Justin

Bennett, Justin is an sole proprietor health care provider with primary practice located at 270 Park Ave , Huntington NY 11743-2787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bennett, Justin can be contacted via phone (631) 336-6480.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743-2787
Phone: (631) 336-6480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 279059 New York

Profile Details

NPI number 1811267271
LBN Legal business name Bennett, Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2012
Last updated Jul 6th, 2015 - about 9 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811267271 NPPES
New York MEDICAID 1811267271

Popular Providers