Individual provider · NPI-1

Benjamin Defieux, LMSW

Social Worker · Islandia, NY

NPI number1326851874
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1326851874
Entity type
Individual (NPI-1)
Name
Benjamin Defieux
Credential
LMSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 29, 2025
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker118291NYYes

Practice location

1707 Veterans Memorial Hwy
Islandia, NY 11749-1531

Phone 631-360-3730

Mailing address

1707 Veterans Memorial Hwy
Islandia, NY 11749-1531

Phone 631-360-3730

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