| Doctor Name: | DR. HENRY BENVENISTI |
| NPI Number: | 1255479077 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD CLINICAL PSYCH |
| License Number: | |
| Business Practice Address: | 48 N Middletown Road Montvale, NJ - 07645 |
| Business Phone Number: | 2013919467 |
| Business Fax Number: | |
| Mailing Address: | 48 N Middletown Road, MONTVALE |
| State: | NJ |
| Postal Code: | 07645 |
| Phone Number: | 2013919467 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 08/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |