Provider Demographics
NPI:1306144308
Name:BENAIM, DAREL M (PHD)
Entity type:Individual
Prefix:DR
First Name:DAREL
Middle Name:M
Last Name:BENAIM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1 NORTH CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2413
Mailing Address - Country:US
Mailing Address - Phone:212-877-2415
Mailing Address - Fax:212-724-1968
Practice Address - Street 1:135 CENTRAL PARK W
Practice Address - Street 2:SUITE 1 NORTH CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2413
Practice Address - Country:US
Practice Address - Phone:212-877-2415
Practice Address - Fax:212-724-1968
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY011352102L00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst