Individual
DR. JESSICA L BENLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(914) 965-1109
(914) 965-9705
Mailing address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 965-1109
(914) 997-7942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
08/04/2009
Last updated
10/04/2011
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