Individual
BENITO JOSEPH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
57 BAY STREET, 1ST & 3RD FLOOR, STATEN ISLAND, NY 10301
(844) 400-1975
Mailing address
2351 BEDFORD AVE FL 2, BROOKLYN, NY 11226-5403
(844) 400-1975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
682961
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ15328900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406352-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841981327
DRIVER LICENCE
NY
Enumeration date
02/20/2024
Last updated
05/14/2026
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