Individual
MS. BETTY GAE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
13 PARK AVE, SUMMIT HILLS, NEW CITY, NY 10956-1107
(845) 354-8847
Mailing address
13 PARK AVE, SUMMIT HILLS, NEW CITY, NY 10956-1107
(845) 354-8847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R049192-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P575338
OXFORD HEALTH PLANS
NY
01
—
P836234
OXFORD HEALTH PLANS
NY
Enumeration date
03/16/2007
Last updated
07/08/2007
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