MEDICARE: ROCKLAND PSYCHOLOGICAL SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1275379737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND PSYCHOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	978 ROUTE 45 STE 104
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	978 ROUTE 45 STE 104
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3565
Country	:	US
Telephone Number	:	845-274-0707
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK BENISZ
Credential	:	MD
Telephone Number	:	845-274-0707

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/24/2024

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Directions to “ROCKLAND PSYCHOLOGICAL SERVICES PLLC ” Practice Location

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