Provider Demographics
NPI:1568533255
Name:PELED-BENBASSAT, YIFAT
Entity Type:Individual
Prefix:MS
First Name:YIFAT
Middle Name:
Last Name:PELED-BENBASSAT
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 1:507 1ST ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-1854
Mailing Address - Country:US
Mailing Address - Phone:201-208-4826
Mailing Address - Fax:
Practice Address - Street 1:507 1ST ST APT 1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-1854
Practice Address - Country:US
Practice Address - Phone:201-208-4826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program