MEDICARE: MS. DEBRA ROSE MOCBEICHEL L.M.H.C.

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	101YM0800X	Mental Health Counselor	004655-1	NY

General Provider Information

NPI Number	:	1396034682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA ROSE MOCBEICHEL L.M.H.C.

Provider Business Mailing Address
First Line	:	1980 BALDWIN ROAD
Second Line	:
City	:	YORKTOWN HGTS
State	:	NY
Zip	:	10598
Country	:	US
Telephone Number	:	917-952-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 WEST 30TH STREET
Second Line	:	11TH FLOOR, #1
City	:	NEW YORK
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	917-952-3600
Fax Number	:

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	11/18/2016

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