MEDICARE: DR. BENZION SOROTZKIN PSY.D.

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	103TC0700X	Clinical Psychologist	008669-1	NY
2	103TC2200X	Clinical Child & Adolescent Psychologist	008669-1	NY
3	103T00000X	Psychologist	008669-1	NY

General Provider Information

NPI Number	:	1396885497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENZION SOROTZKIN PSY.D.

Provider Business Mailing Address
First Line	:	1215 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4805
Country	:	US
Telephone Number	:	718-377-6408
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	09/11/2025

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