Individual provider · Type 1 NPI

Revan Bennett

Registered Nurse · New York, NY

NPI number 1730728734 Active

Practice location

2369 2nd Ave
New York, NY 10035-3108

Call (212) 876-2300 Map

Fax (212) 722-7618

Other practice locations

321 W 125th St, New York, NY 10027-3637 · (212) 289-2378

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	843119-01 (NY)
Licensed Practical Nurse	164W00000X	325583-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1730728734

Revan Bennett's National Provider Identifier is 1730728734, issued on Dec 23, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in New York, NY. The record was last updated on Apr 20, 2026.