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

Stacy N Bennett, CRPA

Individual provider Peer Specialist · NPI 1336837202

Stacy N Bennett, CRPA is a Peer Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

304 E 165th St Apt 4
Bronx, NY 10456-6073
Phone: (718) 790-5889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 5652 (NY)

Record details

NPI number1336837202
Entity typeIndividual (Type 1)
GenderMale
Credentials CRPA
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateFebruary 12, 2023

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