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Contact Information

LYDIA ALFRED BENSON, PSYD
82-68 164TH ST
JAMAICA, NY11432-1121
 Phone: 718-883-3225
 Fax: 718-883-6193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LYDIA ALFRED BENSON · (Female)

NPI Number 1174619639
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 012504
  • NY Medicaid 246075
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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