National Provider Identifier
Amanda Laine Bennett, MD
Amanda Laine Bennett, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Geneva, NY and a listed phone number of (315) 787-5175.
Profile Overview
- NPI
- 1023436847
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- March 29, 2014
- Last Updated
- October 05, 2023
Practice Location
- 200 North St Ste 101
- Geneva, NY 14456-1561
Phone: (315) 787-5175
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1023436847
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Amanda
- Middle Name
- Laine
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Mailing Fax
- (585) 922-1002
- Practice Street Address
- 200 North St Ste 101
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5175
- Enumeration Date
- March 29, 2014
- Last Updated
- October 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)