Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aiesha Mackbennett

Individual provider Licensed Practical Nurse · NPI 1629473715

Aiesha Mackbennett is a Licensed Practical Nurse in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

28 Carr Ln
Medford, NY 11763-1071 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 846-6194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 319985-1 (NY)

Record details

NPI number1629473715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2014
Last updated in NPPESOctober 31, 2014

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