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Provider Information for 1447658315


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Mr. ROBERT BENJAMIN HENDEL L.M.H.C.


Sex: Male

NPI: 1447658315
Last Updated: 2017-06-21
Certification Date:

Details

NameValue
NPI1447658315
Enumeration Date2014-12-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 104-70 QUEENS BLVD
2ND FLOOR
FOREST HILLS, NY 11375
United States

Phone: 718-275-6010 | Fax:
 
Primary Practice Address 10470 QUEENS BLVD
2ND FLOOR
FOREST HILLS, NY 11375-3638
United States

Phone: 718-275-6010 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNY0075621