Provider Demographics
NPI:1114298171
Name:BEN-ATIA, OKSANA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:
Last Name:BEN-ATIA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HORTON DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2858
Mailing Address - Country:US
Mailing Address - Phone:845-222-5104
Mailing Address - Fax:845-356-3190
Practice Address - Street 1:135 HORTON DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2858
Practice Address - Country:US
Practice Address - Phone:845-222-5104
Practice Address - Fax:845-356-3190
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021444-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist