National Provider Identifier
Theron Bennett
Theron Bennett is listed in the NPPES registry with a primary specialty of Attendant Care Provider in Elmira, NY and a listed phone number of (607) 333-6322.
Profile Overview
- NPI
- 1780234146
- Provider Type
- Individual
- Primary Specialty
- Attendant Care Provider
- Enumeration Date
- September 18, 2019
- Last Updated
- September 18, 2019
Practice Location
- 900 West First Street
- Elmira, NY 14905
Phone: (607) 333-6322
Specialties
- Attendant Care Provider (3747A0650X)
Full Record
- NPI
- 1780234146
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Theron
- Mailing Street Address
- 900 West First Street
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905
- Mailing Country
- US
- Mailing Phone
- (607) 333-6322
- Practice Street Address
- 900 West First Street
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905
- Practice Country
- US
- Practice Phone
- (607) 333-6322
- Enumeration Date
- September 18, 2019
- Last Updated
- September 18, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Attendant Care Provider (3747A0650X)