| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | BENNETT RICHARD OLIVER | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00014569 | [sources] | |||
| NPI | 1669777009 | [sources] | |||
| Sector | Physician Assistant | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-49288d155c95cc91db43ff960342f8d26cddca68 · us-npi-1669777009For experts: raw data explorer
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