Provider Demographics
NPI:1760637458
Name:BENOWITZ, NANCY (SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BENOWITZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:BENOWITZ-ROSENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:240 W 98TH ST
Mailing Address - Street 2:14G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5552
Mailing Address - Country:US
Mailing Address - Phone:212-222-1222
Mailing Address - Fax:
Practice Address - Street 1:240 W 98TH ST
Practice Address - Street 2:14G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5552
Practice Address - Country:US
Practice Address - Phone:212-222-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017506-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist