Benjamin, Jessica R
Benjamin, Jessica R is an sole proprietor health care provider with primary practice located at 215 W 95Th St Apt 5G , New York NY 10025-6353. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as her primary health care specialty. Benjamin, Jessica R can be contacted via phone (212) 874-0490.Contact Information
Primary practice address
215 W 95Th St Apt 5G
New York NY 10025-6353
Phone: (212) 874-0490
Fax: (212) 874-0490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 000704 | New York |
Profile Details
| NPI number | 1902335474 |
|---|---|
| LBN Legal business name | Benjamin, Jessica R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jun 8th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902335474 | NPPES |
| New York | Other | 000704 | NEW YORK STATE BOARD OF CERTIFICATION |
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