Bennett, Richard G

Bennett, Richard G is an individual health care provider with primary practice located at 240 Red Tail Suite 8, Orchard Park NY 14127-1581. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bennett, Richard G can be contacted via phone (716) 689-3333.

Contact Information

Primary practice address
240 Red Tail Suite 8 Orchard Park NY 14127-1581
Phone: (716) 689-3333
Fax: (716) 689-9695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 205602-1 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 205602-1 New York

Profile Details

NPI number 1821053026
LBN Legal business name Bennett, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 10th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821053026 NPPES
New York Other 00020025801 UNIVERA
New York Other 1508963 UNIVERA
New York Other 161000580 UNIVERA
New York Other 185386 UNIVERA
New York Other 205602-6W UNIVERA
New York Other 000524673001 UNIVERA
New York Other 161000580 UNIVERA
New York Other 161000580 UNIVERA
New York MEDICAID 01735506 UNIVERA

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