Benzin, Amanda B
Benzin, Amanda B is an sole proprietor health care provider with primary practice located at 1025 Ridge Rd , Lackawanna NY 14218-1755. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Benzin, Amanda B can be contacted via phone (716) 822-4781.Contact Information
Primary practice address
1025 Ridge Rd
Lackawanna NY 14218-1755
Phone: (716) 822-4781
Fax: (716) 825-5765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 015167-1 | New York |
Profile Details
| NPI number | 1043402506 |
|---|---|
| LBN Legal business name | Benzin, Amanda B |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Aug 17th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043402506 | NPPES |
| New York | MEDICAID | 02636395 |
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