MEDICARE: CARALINE KOBEL

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	103K00000X	Behavior Analyst	0001814	NY

General Provider Information

NPI Number	:	1710864202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARALINE KOBEL

Provider Business Mailing Address
First Line	:	1400 OLD COUNTRY RD STE C103N
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-5156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2341 NEW HYDE PARK RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1212
Country	:	US
Telephone Number	:	516-806-5716
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “ CARALINE KOBEL ” Practice Location

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