Provider Demographics
NPI:1194926386
Name:ROSENBERG-BENISCH, BINA (RN, MS)
Entity type:Individual
Prefix:MS
First Name:BINA
Middle Name:
Last Name:ROSENBERG-BENISCH
Suffix:
Gender:F
Credentials:RN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 FOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1121
Mailing Address - Country:US
Mailing Address - Phone:516-398-5248
Mailing Address - Fax:631-423-9276
Practice Address - Street 1:124 MAIN ST
Practice Address - Street 2:SUITE 16
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6922
Practice Address - Country:US
Practice Address - Phone:515-398-5248
Practice Address - Fax:631-423-9276
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576471163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health