Individual
BENJAMIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1727 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 654-1919
Mailing address
121 GLENMERE WAY, HOLBROOK, NY 11741-5013
(631) 654-1919
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
078914-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078914-1
LICENSE
NY
Enumeration date
06/09/2010
Last updated
06/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us