Provider Demographics
NPI:1972866754
Name:BINENBAUM, MARCIA ELLEN (MS SCHOOL COUNSELLIN)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ELLEN
Last Name:BINENBAUM
Suffix:
Gender:F
Credentials:MS SCHOOL COUNSELLIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15645 84TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2645
Mailing Address - Country:US
Mailing Address - Phone:718-738-1800
Mailing Address - Fax:718-848-8683
Practice Address - Street 1:15645 84TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2645
Practice Address - Country:US
Practice Address - Phone:718-738-1800
Practice Address - Fax:718-848-8683
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator