Provider Demographics
NPI:1356604383
Name:BENSADON, SUE K
Entity type:Individual
Prefix:MRS
First Name:SUE
Middle Name:K
Last Name:BENSADON
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 1:20 ROCKLEDGE RD
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3477
Mailing Address - Country:US
Mailing Address - Phone:914-472-9078
Mailing Address - Fax:
Practice Address - Street 1:20 ROCKLEDGE RD
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3477
Practice Address - Country:US
Practice Address - Phone:914-472-9078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist