Individual ProviderDavid BennettMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address709 N Main St, North Syracuse, NY 13212-1669(315) 937-5954(607) 768-9486PECOS EnrollmentBased on the most recent information from CMS, provider David Bennett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1487243531Provider TypeIndividualFull NameBennett, DavidGenderMaleSole ProprietorNoEnumeration Date1/13/2021Last Updated1/13/2021Contact InformationPractice LocationPractice Address709 N Main St, North Syracuse, NY 13212-1669Phone(315) 937-5954FaxUnlisted FaxMailing LocationMailing Address304 Sandra Ln, North Syracuse, NY 13212-2906Phone(607) 768-9486FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense032440New York