Shannon Marie Bennett

NPI #1245902493 in Rockville Centre, New York

Provider Information

NPI Number: 1245902493
Entity Type: Individual
Name: Shannon Marie Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 5, 2021
Last Updated: Feb 1, 2022

Practice Location

Address: 132 LINDEN ST
City: Rockville Centre
State: New York
ZIP Code: 11570-2534
Phone: (646) 341-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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