Healthcare Provider Details

I. General information

NPI: 1235749847
Provider Name (Legal Business Name): BENJAMIN PHILIP LANGSTEIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 CAROL CT
WOODMERE NY
11598-1510
US

IV. Provider business mailing address

877 CAROL CT
WOODMERE NY
11598-1510
US

V. Phone/Fax

Practice location:
  • Phone: 516-376-8075
  • Fax:
Mailing address:
  • Phone: 516-376-8075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number028394
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: