Provider Demographics
NPI:1386941011
Name:YAMINI-BENJAMIN, YASMEEN (PHD)
Entity type:Individual
Prefix:
First Name:YASMEEN
Middle Name:
Last Name:YAMINI-BENJAMIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:YASMEEN
Other - Middle Name:
Other - Last Name:BENJAMIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:800 POLY PLACE (116B)
Mailing Address - Street 2:NEW YORK HARBOR HEALTHCARE SYSTEM, BROOKLYN CAMPUS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-836-6600
Mailing Address - Fax:718-630-2935
Practice Address - Street 1:800 POLY PLACE (116B)
Practice Address - Street 2:NEW YORK HARBOR HEALTHCARE SYSTEM, BROOKLYN CAMPUS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-836-6600
Practice Address - Fax:718-630-2935
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018922103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical