Provider Demographics
NPI:1538589890
Name:BINYAMIN, TZURIEL BEN (LCAT, ATR-BC)
Entity type:Individual
Prefix:MR
First Name:TZURIEL
Middle Name:BEN
Last Name:BINYAMIN
Suffix:
Gender:M
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 MAIN ST UNIT 511
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7101
Mailing Address - Country:US
Mailing Address - Phone:917-274-7868
Mailing Address - Fax:
Practice Address - Street 1:505 8TH AVE # 12A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6505
Practice Address - Country:US
Practice Address - Phone:917-274-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2022-01-26
Deactivation Date:2015-10-05
Deactivation Code:
Reactivation Date:2018-12-20
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY002297221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program