Basic Information
| Provider Information | |||||||||
| NPI: | 1194926386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROSENBERG-BENISCH | ||||||||
| FirstName: | BINA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | R.N., M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 149 FOXWOOD DR | ||||||||
| Address2: | |||||||||
| City: | JERICHO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117531121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163985248 | ||||||||
| FaxNumber: | 6314239276 | ||||||||
| Practice Location | |||||||||
| Address1: | 124 MAIN ST | ||||||||
| Address2: | SUITE 16 | ||||||||
| City: | HUNTINGTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117436922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5153985248 | ||||||||
| FaxNumber: | 6314239276 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 576471 | NY | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.