Benjamin Banoff

Individual provider Active NPI Mental Health Counselor · Harrison, NY

NPI 1104464239 · NPPES record last updated Dec 19, 2019

Key facts

NPI
1104464239
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
275 North St
Harrison, NY 10528-1140
Phone
(914) 925-5959
NPI assigned
Dec 19, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

275 North St
Harrison, NY 10528-1140

Mailing address

275 North St
Harrison, NY 10528-1140

Other providers in Harrison, NY

All providers in Harrison, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.