Provider Demographics
NPI:1598073017
Name:BEN-ARI, NOAM YEHUDA (MS)
Entity Type:Individual
Prefix:
First Name:NOAM
Middle Name:YEHUDA
Last Name:BEN-ARI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14108 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1928
Mailing Address - Country:US
Mailing Address - Phone:718-268-4854
Mailing Address - Fax:
Practice Address - Street 1:14108 70TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1928
Practice Address - Country:US
Practice Address - Phone:718-268-4854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1274823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist