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NPI Code Detail

MEDICARE: MR. MARK A. TOBIAS LCSW-R

MEDICARE:  MR. MARK A. TOBIAS  LCSW-R
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
1283Q00000XPsychiatric HospitalR032491-1NY
21041C0700XClinical Social WorkerR032491-1NY

General Provider Information

NPI Number : 1316263734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK A. TOBIAS LCSW-R
Provider Business Mailing Address
First Line : 420 NORTH AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-4160
Country : US
Telephone Number : 914-576-3614
Fax Number : 914-576-0526
Provider Business Practice Location Address
First Line : 420 NORTH AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-4160
Country : US
Telephone Number : 914-576-3614
Fax Number : 914-576-0526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2010
Last Update Date : 04/23/2010

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Directions to “ MR. MARK A. TOBIAS LCSW-R” Practice Location

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