Doctor Name: | MS. INA BENJAMIN |
NPI Number: | 1124185632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | R013217 |
Business Practice Address: | 377 Westchester Ave Suite L J Port Chester, NY - 105733603 |
Business Phone Number: | 9143931297 |
Business Fax Number: | |
Mailing Address: | 377 Westchester Ave, Suite L J PORT CHESTER |
State: | NY |
Postal Code: | 105733603 |
Phone Number: | 9143931297 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R013217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |