Healthcare Provider Details

I. General information

NPI: 1548662521
Provider Name (Legal Business Name): REBECCA BINSTOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2014
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 WOODFIELD RD
WEST HEMPSTEAD NY
11552-2535
US

IV. Provider business mailing address

310 WOODFIELD RD
WEST HEMPSTEAD NY
11552-2535
US

V. Phone/Fax

Practice location:
  • Phone: 646-823-4166
  • Fax:
Mailing address:
  • Phone: 646-823-4166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: