| Doctor Name: | MS. AMY M BENNETT |
| NPI Number: | 1528195617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 4205681 |
| Business Practice Address: | 4154 Mckinley Pky Suite 1200 Blasdell, NY - 142192995 |
| Business Phone Number: | 7166496500 |
| Business Fax Number: | 7166490031 |
| Mailing Address: | 4154 Mckinley Pky, Suite #1200 BLASDELL |
| State: | NY |
| Postal Code: | 142192995 |
| Phone Number: | 7166496500 |
| Fax Number: | 7166490031 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 4205681 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |