Individual
DR. JONATHAN BENTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1230 AVE OF THE AMERICAS 7TH FLOOR, ROCKEFELLER CENTER, NEW YORK, NY 10020-1517
(646) 756-2820
Mailing address
85 FAIRFIELD WAY APT 8, COMMACK, NY 11725-3426
(631) 486-5191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016785
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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