Provider Demographics
NPI:1801050653
Name:BOYNTON, BENITA ELIZABETH (MSW)
Entity type:Individual
Prefix:MS
First Name:BENITA
Middle Name:ELIZABETH
Last Name:BOYNTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:BIBI
Other - Middle Name:ELIZABETH
Other - Last Name:BOYNTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:221 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4313
Mailing Address - Country:US
Mailing Address - Phone:917-783-7655
Mailing Address - Fax:
Practice Address - Street 1:221 STRATFORD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4313
Practice Address - Country:US
Practice Address - Phone:917-783-7655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical