Search › New York › 163W00000X
Revan Bennett
NPI 1730728734 · on the registry since 2019
Practice
- Address
- 2369 2nd Ave
New York, NY 10035 - Phone
- (212) 876-2300
- Fax
- (212) 722-7618
- Organisation at this address
- Harlem East Life Plan
Harlem East Life PlanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 190
Additional practice sites
- 321 W 125th St, New York, NY
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York