Bennett, Audrey P

Bennett, Audrey P is an individual health care provider with primary practice located at 30 Hempstead Ave Suite 152, Rockville Centre NY 11750. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bennett, Audrey P can be contacted via phone (516) 433-4243.

Contact Information

Primary practice address
30 Hempstead Ave Suite 152 Rockville Centre NY 11750
Phone: (516) 433-4243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R025833 New York

Profile Details

NPI number 1386706869
LBN Legal business name Bennett, Audrey P
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386706869 NPPES
New York MEDICAID 61017394957
New York Other 0035927

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