Healthcare Provider Details

I. General information

NPI: 1912102120
Provider Name (Legal Business Name): BENJAMIN B CHENEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E 43RD ST RM 1102
NEW YORK NY
10017-4767
US

IV. Provider business mailing address

211 E 43RD ST RM 1102
NEW YORK NY
10017-4767
US

V. Phone/Fax

Practice location:
  • Phone: 212-712-8889
  • Fax:
Mailing address:
  • Phone: 212-712-8889
  • Fax: 646-368-8242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number227820
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number227820
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: