MEDICARE: SHLOMO BINETH

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	101YM0800X	Mental Health Counselor	005786	NY

General Provider Information

NPI Number	:	1356681472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHLOMO BINETH

Provider Business Mailing Address
First Line	:	4519 10TH AVE APT 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2353
Country	:	US
Telephone Number	:	718-436-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	4519 10TH AVE APT 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2353
Country	:	US
Telephone Number	:	718-436-2515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	11/08/2013

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Directions to “ SHLOMO BINETH ” Practice Location

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