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Kimberly Benjamin

Social Worker in Far Rockaway, NY. Individual provider (NPI-1).

NPI number1346834041
StatusActive
Last updated in NPPESFeb 23, 2021

Details

NPI
1346834041
Entity type
Individual (NPI-1)
Name
Kimberly Benjamin
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2021
Certification date
Feb 23, 2021
Last updated
Feb 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker111238NYYes

Practice location

1847 Mott Ave
Far Rockaway, NY 11691-4220

Phone 718-337-6800

Mailing address

1847 Mott Ave
Far Rockaway, NY 11691-4220

Phone 718-337-6800

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