Benzaquen Psychological Services, PLLC
Psychologist, Clinical in Cedarhurst, NY. Organization (NPI-2).
NPI number1710079751
StatusActive
Last updated in NPPESAug 10, 2007
Details
- NPI
- 1710079751
- Entity type
- Organization (NPI-2)
- Legal business name
- Benzaquen Psychological Services, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Aug 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 9097-1 | NY | Yes |
Other names
- Benzaquen Psychological Services, PLLC (Doing Business As)
Practice location
143 Maple AveCedarhurst, NY 11516-2225
Phone 516-295-4104 · Fax 516-764-7833
Mailing address
3229 Perry AveOceanside, NY 11572-4233
Phone 516-295-4104 · Fax 516-764-7833
Authorized official
Isaac Benzaquen
Managing Member
5162954104
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