Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAWNETTE BENNETT, OTA
Active Sole ProprietorMS. SHAWNETTE BENNETT, OTA is a 224ZE0001X healthcare provider located in ROSEDALE, New York. NPI 1982116380 is currently active in the NPPES registry. Verify at CMS.
224ZE0001X · ROSEDALE, NY
Registration Details
- NPI Number
- 1982116380
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2017 (8.7583552124381 yrs)
- Last Updated
- Oct 26, 2017
- License
-
006811 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25951 147TH DRROSEDALE, NY, 114222925Browse NY providers · Browse ZIP 11422
- Phone
- 3472927241
- Primary Specialty
-
224ZE0001X
224ZE0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.