Individual
BENJAMIN ELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 PARK PL, OYSTER BAY, NY 11771-3919
(917) 903-1380
Mailing address
43 PLEASANT AVE, PASSAIC, NJ 07055-2450
(973) 778-8211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114639
NYS LMSW LICENSURE NUMBER
NY
Enumeration date
09/08/2022
Last updated
09/08/2022
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