Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 4033 | NY |
N | 103TC0700X | Clinical Psychologist | 4033 | NY |
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 102L00000X | Psychologist | 4033 | NY |
N | 103T00000X | Psychologist | 4033 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103G00000X | Clinical Psychologist | 4033 | NY |
N | 103TC0700X | Clinical Psychologist | 4033 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1396869335 |
---|---|
Provider Name | Dr. Benjamin Hirsch |
First Address | East Meadow, NY 11554-4538 |
Second Address | East Meadow, NY 11554-4538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |