Individual
DR. ROBERT J. BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
56 JANE ST APT 1D, NEW YORK, NY 10014-5116
(212) 645-3024
Mailing address
56 JANE ST APT 1D, NEW YORK, NY 10014-5116
(212) 645-3024
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000059
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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