Dezhane Bennett, PTA

Physical Therapy Assistant · Lynbrook, NY

Individual Active NPI

NPI number 1780395962

Practice location

444 Merrick Rd # 360
Lynbrook, NY 11563-2460
Phone
(516) 536-3800

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NPI record

NPI
1780395962
Entity type
Individual (Type 1)
Enumeration date
December 8, 2022
Last updated
December 8, 2022
Certified
December 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 0134575-01 NY

Mailing address

12 Roosevelt Ave
Amityville, NY 11701-2317

About Dezhane Bennett

Dezhane Bennett, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 444 Merrick Rd # 360, Lynbrook, NY 11563-2460. The NPI number 1780395962 was assigned on December 8, 2022 and the record was last updated on December 8, 2022.

Dezhane Bennett lists a license in the registry: #0134575-01 (NY) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dezhane Bennett, PTA?

The NPI number is 1780395962.

What is the phone number of Dezhane Bennett?

The phone number listed for the practice location is (516) 536-3800.

Where is Dezhane Bennett located?

444 Merrick Rd # 360, Lynbrook, NY 11563-2460.

What is the taxonomy code for Dezhane Bennett?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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