Provider Demographics
NPI:1376208280
Name:LANIADO-BENATAR, HUIDETH
Entity Type:Individual
Prefix:
First Name:HUIDETH
Middle Name:
Last Name:LANIADO-BENATAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4403
Mailing Address - Country:US
Mailing Address - Phone:347-962-1737
Mailing Address - Fax:
Practice Address - Street 1:1755 E 36TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4403
Practice Address - Country:US
Practice Address - Phone:347-962-1737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker