Provider Demographics
NPI:1033263413
Name:BENSON, CAROLYN MARGARET (MD)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:MARGARET
Last Name:BENSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:201 WEST 77 ST
Mailing Address - Street 2:APT 12G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6658
Mailing Address - Country:US
Mailing Address - Phone:212-712-9066
Mailing Address - Fax:212-496-2042
Practice Address - Street 1:ST LUKES ROOSEVELT HOSPITAL STOREFRONT
Practice Address - Street 2:350 A W 49TH ST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:917-929-2894
Practice Address - Fax:212-496-2042
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1871752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G40109Medicare UPIN