Josue Benjamin
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hawthorne, NY
NPI 1487062477 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1487062477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 226 Linda Ave
Hawthorne, NY 10532-2018 - Phone
- (914) 773-7500
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
226 Linda Ave
Hawthorne, NY 10532-2018
Mailing address
46 N Madison Ave Unit 404
Spring Valley, NY 10977-4876
Phone (845) 821-5335
Other providers in Hawthorne, NY
- Kayla Claire Bell
- Tiffany Bell
- Andrew Joseph Bellantoni
- Jessica Belz
- Susanne Bengtsson
- Anita Bennett
- Beatrice Bernstein
- Laura J Bernstein
- Aemma Soo Bethon
- Chandra Bhim-Sadusingh
All providers in Hawthorne, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.