Isaiah Bennett
NPI #1053833467 in Staten Island, New York
Provider Information
- NPI Number
- 1053833467
- Entity Type
- Individual
- Name
- Isaiah Bennett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 7, 2017
- Last Updated
- Jul 7, 2017
Practice Location
- Address
- 19 VEDDER AVE
- City
- Staten Island
- State
- New York
- ZIP Code
- 10314-1509
- Phone
- (718) 370-2975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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