Healthcare Provider Details

I. General information

NPI: 1629995592
Provider Name (Legal Business Name): DR. BENOIT JEAN-CHRISTOPHE ROUSSEAU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WESTCHESTER AVE
WEST HARRISON NY
10604-3200
US

IV. Provider business mailing address

243 W 60TH ST APT 7C
NEW YORK NY
10023-0076
US

V. Phone/Fax

Practice location:
  • Phone: 914-540-5593
  • Fax:
Mailing address:
  • Phone: 646-431-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number343715
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: