Individual
SAMANTHA RAE BENIGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 72ND ST, NEW YORK, NY 10023-3203
(646) 641-3187
Mailing address
175 W 72ND ST, NEW YORK, NY 10023-3203
(646) 641-3187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26423
NY
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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