Robert Mandelbaum in Shirley - Addiction (substance Use Disorder)
Robert Mandelbaum - NPI 1205035540
Robert Mandelbaum is a Addiction (substance Use Disorder) in Shirley, New York. Robert Mandelbaum practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robert Mandelbaum is 1205035540. The last update date is 2010-04-05.
Robert Mandelbaum's current location address is 151 Parkwood Dr, Shirley, New York. You can contact this provider via phone number 6315436200. The mailing address for Robert Mandelbaum is 151 Parkwood Dr, Shirley, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Mandelbaum |
|---|---|
| Address | 151 Parkwood Dr, Shirley, New York |
| Phone Number | 6315436200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CASAC |
NPI Number Detail
| NPI Number | 1205035540 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2010-04-05 |
Provider Mailing Address Detail
| Address | 151 Parkwood Dr |
|---|---|
| City | Shirley |
| State | New York (NY) |
| Post Code | 119673938 |
| Phone Number | 6315436200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12388 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2249145 | NY | CASAC |
Post Comment/ Review Below
What is the Robert Mandelbaum's unique identification number?
The Robert Mandelbaum has been assigned the NPI (National Provider Identifier) Number 1205035540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Robert Mandelbaum?
The Robert Mandelbaum is physically situated at 151 Parkwood Dr, in the city of Shirley, state of NY, with the postal code 119673938.
What is Robert Mandelbaum's area of expertise and its corresponding taxonomy classification?
The Robert Mandelbaum's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
When was the Robert Mandelbaum's 1205035540 issued?
The Robert Mandelbaum's 1205035540 was issued on 2007-07-17.
As of what date were the details pertaining to Robert Mandelbaum last refreshed?
The information related to the Robert Mandelbaum, including its address, specialty, and other relevant details, was last updated on 2010-04-05.