Doctor Name: | ROBIN KORNGOLD |
NPI Number: | 1013249317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | R048123 |
Business Practice Address: | 125 S Main St New City, NY - 109563501 |
Business Phone Number: | 8456382822 |
Business Fax Number: | 8459261887 |
Mailing Address: | 125 S Main St, NEW CITY |
State: | NY |
Postal Code: | 109563501 |
Phone Number: | 8456382822 |
Fax Number: | 8459261887 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R048123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |