Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Marie Bennett

Individual provider Physician Assistant · NPI 1245902493

Shannon Marie Bennett is a Physician Assistant in Rockville Centre, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

132 Linden St
Rockville Centre, NY 11570-2534
Phone: (646) 341-2815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245902493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESFebruary 1, 2022
Certification dateJanuary 30, 2022

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