Provider Demographics
NPI:1922019306
Name:BENLIFER, GINGER E (PHD)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:E
Last Name:BENLIFER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:ENGEL
Other - Last Name:BENLIFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576
Mailing Address - Country:US
Mailing Address - Phone:914-533-2552
Mailing Address - Fax:
Practice Address - Street 1:2 WEST RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590
Practice Address - Country:US
Practice Address - Phone:914-533-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5883103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV0B741Medicare ID - Type Unspecified