Individual
MISS TAKENYA TANYETTE BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 WEST 50TH STREET 6TH FLOOR, JEWISH BOARD OF FAMILY AND CHILDREN SERVICES, NEW YORK, NY 10020
(914) 773-7699
Mailing address
5 S LAWN AVE, ELMSFORD, NY 10523-3604
(914) 439-4057
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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