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Robert Mandelbaum, CASAC
Addiction (Substance Use Disorder) Counselor in Shirley, New York
NPI 1205035540

Robert Mandelbaum is an Addiction (Substance Use Disorder) Counselor based in Shirley, NY and is specialized in Addiction (Substance Use Disorder). Robert Mandelbaum practices in Shirley, NY and has the professional credentials of CASAC. The NPI Number for Robert Mandelbaum is 1205035540 and holds a License No. 12388 (New York).

The current practice location address for Robert Mandelbaum is 151 Parkwood Dr, Shirley, NY and can be reached out via phone at 631-543-6200.

Location: 151 Parkwood Dr, Shirley, NY, 11967-3938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205035540
Provider Name
Robert Mandelbaum
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
151 Parkwood Dr, Shirley, NY, 11967-3938
Phone Number
631-543-6200
Fax Number
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02249145 01 NY CASAC
institution
Provider Business Practice Location Address Details
Address
151 Parkwood Dr
City
Shirley
State
New York
Zip
11967-3938
Phone Number
631-543-6200
Fax Number
person
Provider Business Mailing Address Details
Address
151 Parkwood Dr
City
Shirley
State
New York
Zip
11967-3938
Phone Number
631-543-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12388 (New York)
Definition
Definition to come...
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