Provider Demographics
NPI:1184173809
Name:BENDET, MEITAL
Entity type:Individual
Prefix:
First Name:MEITAL
Middle Name:
Last Name:BENDET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 SEVENTH AVENUE, SUITE 1005
Mailing Address - Street 2:
Mailing Address - City:NYC (NEW YORK CITY)
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:415-694-0349
Mailing Address - Fax:
Practice Address - Street 1:352 SEVENTH AVENUE, SUITE 1005
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:510-841-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-22
Last Update Date:2023-11-01
Deactivation Date:2017-05-01
Deactivation Code:
Reactivation Date:2023-11-01
Provider Licenses
StateLicense IDTaxonomies
390200000X
NYP114685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program