Mrs Elizabeth Ratnamala Benjamin, NURSE PRACTIONER is a
Behavior Analyst based in Coram, New York. Mrs Elizabeth Ratnamala Benjamin is licensed to practice in New York (license number F401255) and her current practice location is
3600 Route 112, Coram, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 920-8500.
NPI number for Mrs Elizabeth Ratnamala Benjamin is 1629382114 and her current mailing address is 3600 Route 112, Coram, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629382114.
Provider's Profile
| Full Name | Mrs Elizabeth Ratnamala Benjamin |
|---|
| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 3600 Route 112, Coram, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629382114
- Provider Enumeration Date: 07/27/2010
- Last Update Date: 07/28/2010
Medical Identifiers
Medical identifiers for Mrs Elizabeth Ratnamala Benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629382114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401255 (New York) | Secondary |
| 103K00000X | Behavior Analyst | F401255 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth Ratnamala Benjamin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Elizabeth Ratnamala Benjamin, NURSE PRACTIONER
3600 Route 112,
Coram, NY 11727-4116
Ph: (631) 920-8500 | Mrs Elizabeth Ratnamala Benjamin, NURSE PRACTIONER
3600 Route 112,
Coram, NY 11727-4116
Ph: (631) 920-8500 |
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