National Provider Identifier

Susan M Bennett, RPA-C

Susan M Bennett, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 626-0030.

NPI 1972695534Williamsville, NYMedical Physician Assistant

Profile Overview

NPI
1972695534
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
September 29, 2006
Last Updated
September 07, 2007

Practice Location

  • 6760 Main St
  • Williamsville, NY 14221-5947

Phone: (716) 626-0030

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1972695534
Entity Type
Individual
Last Name
Bennett
First Name
Susan
Middle Name
M
Name Prefix
Mrs.
Credential
RPA-C
Mailing Street Address
6760 Main St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5947
Mailing Country
US
Mailing Phone
(716) 626-0030
Mailing Fax
(716) 632-5356
Practice Street Address
6760 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5947
Practice Country
US
Practice Phone
(716) 626-0030
Practice Fax
(716) 632-5356
Enumeration Date
September 29, 2006
Last Updated
September 07, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)