Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 185179 | NY |
NPI | 1114010469 |
---|---|
Provider Name | Dr. Rachel Ariel Bennett |
First Address | Mount Kisco, NY 10549-3027 |
Second Address | Mount Kisco, NY 10549-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2006 |
Last Update Date | 19/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01582654 | (05) | NY |
F74029 | (02) | NY |