Individual
JEFFREY C BENEZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
983 PARK AVENUE, STE 1C, NYC, NY 10028
(212) 772-6005
Mailing address
983 PARK AVENUE, STE 1C, NYC, NY 10028
(212) 772-6005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
116968
NY
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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