Robert E Detor in Amityville - Clinical

Robert E Detor - NPI 1518178128

Robert E Detor is a Clinical in Amityville, New York. Robert E Detor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert E Detor is 1518178128. The last update date is 2007-07-08.

Robert E Detor's current location address is 400 Sunrise Hwy, Amityville, New York. You can contact this provider via phone number 6316085105. The mailing address for Robert E Detor is 400 Sunrise Hwy, Amityville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert E Detor
Address 400 Sunrise Hwy, Amityville, New York
Phone Number 6316085105
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1518178128
Provider Enumeration Date 2007-05-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 400 Sunrise Hwy
City Amityville
State New York (NY)
Post Code 117012508
Phone Number 6316085105
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R020697-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Robert E Detor

What is the unique 10-digit identifier code assigned to Robert E Detor by the Centers for Medicare & Medicaid Services?

The Robert E Detor has been issued the NPI (National Provider Identifier) 1518178128 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Robert E Detor?

The Robert E Detor is physically situated at 400 Sunrise Hwy, in the city of Amityville, state of NY, with the postal code 117012508.

What is the Robert E Detor's specialty and taxonomy code?

The Robert E Detor's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date was the 1518178128 assigned to Robert E Detor?

The Robert E Detor was issued its 1518178128 on 2007-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Robert E Detor most recently updated or revised?

The details related to Robert E Detor, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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