Individual
DR. ISAAC BENZAQUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
143 MAPLE AVE, CEDARHURST, NY 11516-2225
(516) 295-4104
(516) 764-7833
Mailing address
3229 PERRY AVE, OCEANSIDE, NY 11572-4233
(516) 764-2243
(516) 764-7833
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
90971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003042
GHI
NY
05
—
01034311
—
NY
01
—
0190373
GHI
NY
01
—
190033
ELDERPLAN
NY
01
—
36684
UNITED BEHAVIORAL HEALTH
NY
01
—
4478353
AETNA
NY
01
—
6153651
UNITED HEALTH CARE
NY
01
—
62308
CIGNA
NY
01
—
AS313
OXFORD HEALTH PLANS
CT
01
—
P3842482
OXFORD
CT
Enumeration date
06/15/2005
Last updated
03/14/2008
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