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Contact Information

SHAWNETTE BENNETT, OTA
25951 147TH DR
ROSEDALE, NY11422-2925
 Phone: 347-292-7241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for SHAWNETTE BENNETT · (Female)

NPI Number 1982116380
Status Active
Credentials OTA
Entity Individual
Enumeration date 10/26/2017
Last updated 10/26/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006811
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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