Healthcare Provider Details

I. General information

NPI: 1275815276
Provider Name (Legal Business Name): ORLY SARAH BENDAVID MA, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 08/10/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 GUERNSEY ST APARTMENT 2
BROOKLYN NY
11222-2693
US

IV. Provider business mailing address

192 GUERNSEY ST APARTMENT 2
BROOKLYN NY
11222-2693
US

V. Phone/Fax

Practice location:
  • Phone: 818-441-1777
  • Fax:
Mailing address:
  • Phone: 818-441-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number01666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: