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Individual

ANDY BENCHEMMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
(718) 370-1142
Mailing address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
(718) 370-1142

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104515
NY

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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