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NPI Code Detail

MEDICARE: LESLIE TONI OBERHOFER

MEDICARE: LESLIE TONI OBERHOFER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1598436073
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE TONI OBERHOFER
Provider Business Mailing Address
First Line : 310 W SAUGERTIES RD
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-3152
Country : US
Telephone Number : 917-623-5713
Fax Number :
Provider Business Practice Location Address
First Line : 400 DOANSBURG RD
Second Line :
City : BREWSTER
State : NY
Zip : 10509-5902
Country : US
Telephone Number : 299-584-5279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2021
Last Update Date : 09/23/2021

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Directions to “ LESLIE TONI OBERHOFER ” Practice Location

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