Individual provider · Type 1 NPI
Richard Oliver Bennett, RPA-C
Medical Physician Assistant · Coram, NY
NPI number
1669777009
Active
Practice location
2 Ellis Ct
Coram, NY 11727-1473
Mailing address
1745 Union Blvd
Bay Shore, NY 11706-7952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 23-014569 (NY) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Coram
About NPI 1669777009
Richard Oliver Bennett, RPA-C's National Provider Identifier is 1669777009, issued on Jan 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coram, NY. The record was last updated on May 24, 2017.