Bennette Ny Ventures Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0149191 Issued in NY

Legal business name

BENNETTE NY VENTURES INC

Practice address

3763 83Rd St
Apt 403
Jackson Heights, NY 11372-7146

Phone

(646) 436-8276

NPI assigned

Sep 9, 2010

Last updated

Sep 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Villa-Roldan

Title

Shareholder

Phone

(646) 436-8276

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1558678730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 83RD ST",
            "address_2": "APT 403",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727146",
            "telephone_number": "646-436-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 83RD ST",
            "address_2": "APT 403",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727146",
            "telephone_number": "646-436-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETTE NY VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "VILLA-ROLDAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "646-436-8276"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0149191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Jackson Heights, NY
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• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.