IndividualActive
Alan Bennett, MD
NPI 1710503230 · Urology Physician · Raquette Lake, NY
Provider details
- NPI number
- 1710503230
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 138178 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
592 State Route 28
Raquette Lake, NY 13436-1907
Phone: (315) 354-4151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box D
Newmarket, NH 03857-0569
Registry dates
- Enumerated
- 2020-06-20
- Last updated
- 2020-06-20
- Certified
- 2020-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.