DIANA HAUGHTON-BENNETT


Address: 2067 E 60th St, Brooklyn, NY 11234
Phone: 3472806105

DIANA HAUGHTON-BENNETT (NPI# 1891273033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891273033
Entity Type Individual
Full Name DIANA HAUGHTON-BENNETT
Credential NURSE PRACTITIONER
Practice Address 2067 E 60th St
Brooklyn
NY 11234
Mailing Address 2067 E 60th St
Brooklyn
NY 11234-4109
Practice Telephone 3472806105
Mailing Telephone 3472806105
Enumeration Date 2018-07-31
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402223-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2067 E 60TH ST
City BROOKLYN
State NY
Zip Code 11234

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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