Doctor Name: | MONICA KOBERLIN |
NPI Number: | 1023143054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 408050-1 |
Business Practice Address: | 2146 Jackson Ave Seaford, NY - 117832606 |
Business Phone Number: | 5162213030 |
Business Fax Number: | 5162214160 |
Mailing Address: | 2146 Jackson Ave, SEAFORD |
State: | NY |
Postal Code: | 117832606 |
Phone Number: | 5162213030 |
Fax Number: | 5162214160 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 408050-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |