Doctor Name: | TOBY L TOBIAS |
NPI Number: | 1386733285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW PHD |
License Number: | R033972-1 |
Business Practice Address: | 23 Columbus Dr South Huntington, NY - 117462734 |
Business Phone Number: | 6314241690 |
Business Fax Number: | 6314241084 |
Mailing Address: | 23 Columbus Dr, SOUTH HUNTINGTON |
State: | NY |
Postal Code: | 117462734 |
Phone Number: | 6314241690 |
Fax Number: | 6314241084 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R033972-1 |
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 |