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NPI Code Detail

MEDICARE: MS. TOBY KAREN OSTAR CSW, BCD

MEDICARE: MS. TOBY KAREN OSTAR CSW, BCD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR040007-1NY

General Provider Information

NPI Number : 1073501839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TOBY KAREN OSTAR CSW, BCD
Provider Business Mailing Address
First Line : 2277 GRAND AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-3148
Country : US
Telephone Number : 516-377-5400
Fax Number : 516-377-5490
Provider Business Practice Location Address
First Line : 2277 GRAND AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-3148
Country : US
Telephone Number : 516-377-5400
Fax Number : 516-377-5490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 09/03/2013

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