Provider Demographics
NPI:1043501810
Name:BENYAMINY, SHARON (TSHH)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:
Last Name:BENYAMINY
Suffix:
Gender:F
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 ARMOUR ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2513
Mailing Address - Country:US
Mailing Address - Phone:516-984-1032
Mailing Address - Fax:
Practice Address - Street 1:16 FOREST RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2411
Practice Address - Country:US
Practice Address - Phone:516-791-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist