NPI 1205035540 ROBERT MANDELBAUM CASAC SHIRLEY NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Robert Mandelbaum - NPI: 1205035540

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: ROBERT MANDELBAUM
NPI Number: 1205035540
Entity Type Code: Individual (1)
Gender: M
Credentials: CASAC
License Number: 12388
Business Practice Address: 151 Parkwood Dr
Shirley, NY - 119673938
Business Phone Number: 6315436200
Business Fax Number:
Mailing Address: 151 Parkwood Dr,
SHIRLEY
State: NY
Postal Code: 119673938
Phone Number: 6315436200
Fax Number:
NPI Enumeration Date: 07/17/2007
NPI Last Update Date: 04/05/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 12388
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NY
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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