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Individual

DR. MICHAEL BENIBGUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
303 5TH AVE, SUITE 1407, NEW YORK, NY 10016-6601
(917) 975-7669
Mailing address
448 W 49TH ST, APT. 4A, NEW YORK, NY 10019-7295
(917) 975-7669

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019286
NY

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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