Provider Demographics
NPI:1407232960
Name:BEN-NUN, NATANYA (HIS)
Entity Type:Individual
Prefix:MRS
First Name:NATANYA
Middle Name:
Last Name:BEN-NUN
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-19 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1837
Mailing Address - Country:US
Mailing Address - Phone:201-703-6800
Mailing Address - Fax:201-703-6805
Practice Address - Street 1:13-19 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1837
Practice Address - Country:US
Practice Address - Phone:201-703-6800
Practice Address - Fax:201-703-6805
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00130600237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist