Eddis B Bennett Jr.
Eddis B Bennett Jr. is a Case Manager/Care Coordinator in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
391 E 149th Street BronxBronx, NY 10455
Phone: (646) 702-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (NY) |
|---|
Record details
| NPI number | 1518505825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2019 |
| Last updated in NPPES | December 17, 2019 |
| Certification date | December 17, 2019 |
| Mailing address | 391 East 149th Street, Bronx, Bronx, NY 10455 |
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