Provider Demographics
NPI:1225584899
Name:BENJAMIN, SARAH (SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:BENJAMIN
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 1:17 HUNTING LN
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-1101
Mailing Address - Country:US
Mailing Address - Phone:203-979-4091
Mailing Address - Fax:
Practice Address - Street 1:1700 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2627
Practice Address - Country:US
Practice Address - Phone:212-289-3702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist