Healthcare Provider Details

I. General information

NPI: 1215856547
Provider Name (Legal Business Name): YAKIMIYAH BINYAMIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S BROADWAY STE 1024
WHITE PLAINS NY
10601-4413
US

IV. Provider business mailing address

75 S BROADWAY STE 1024
WHITE PLAINS NY
10601-4413
US

V. Phone/Fax

Practice location:
  • Phone: 646-206-5252
  • Fax:
Mailing address:
  • Phone: 646-206-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number003175
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: