Individual
MR. BENNIS SUJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MADISON AVE, NEW YORK, NY 10016-2820
(631) 678-5360
Mailing address
789 ASTOR AVE APT 5D, BRONX, NY 10467-9334
(315) 704-9707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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