MEDICARE: MR. ROBERT BAUER LCSW

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
1	1041C0700X	Clinical Social Worker	R0362581	NY

General Provider Information

NPI Number	:	1285610485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT BAUER LCSW

Provider Business Mailing Address
First Line	:	132 MCKNIGHT HILL RD
Second Line	:
City	:	SALEM
State	:	NY
Zip	:	12865-4508
Country	:	US
Telephone Number	:	518-854-7014
Fax Number	:	518-854-7014

Provider Business Practice Location Address
First Line	:	2 FRANKLIN SQ
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2130
Country	:	US
Telephone Number	:	518-584-5619
Fax Number	:	518-854-7014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/08/2007

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