Individual
MR. ANDREW PAUL BENEVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(516) 426-2444
Mailing address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(516) 426-2444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003069
—
NY
Enumeration date
08/23/2011
Last updated
05/21/2019
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