Doctor Name: | MRS. LESLEY S BENVENISTE |
NPI Number: | 1003906231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01135700 |
Business Practice Address: | 20 Murray Hill Parkway Ste 220 South East Rutherford, NEW JERSEY - 07073 |
Business Phone Number: | 2019640200 |
Business Fax Number: | 2019640220 |
Mailing Address: | 160 Terrace Avenue, Apt 3c HASBROUCK HEIGHTS |
State: | NJ |
Postal Code: | 07604 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01135700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |