MEDICARE: MS. BENAY A. LINDENAUER LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	RO46501-1R	NY

General Provider Information

NPI Number	:	1134336803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BENAY A. LINDENAUER LCSW-R

Provider Business Mailing Address
First Line	:	689 COLUMBUS AVE
Second Line	:	APT. 5C
City	:	NEW YORK
State	:	NY
Zip	:	10025-7046
Country	:	US
Telephone Number	:	212-222-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	689 COLUMBUS AVE
Second Line	:	APT. 5C
City	:	NEW YORK
State	:	NY
Zip	:	10025-7046
Country	:	US
Telephone Number	:	212-222-9706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

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