Robert Mandelbaum, CASAC

NPI #1205035540 in Shirley, New York

Provider Information

NPI Number: 1205035540
Entity Type: Individual
Name: Robert Mandelbaum, CASAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CASAC
Enumeration Date: Jul 17, 2007
Last Updated: Apr 5, 2010

Practice Location

Address: 151 PARKWOOD DR
City: Shirley
State: New York
ZIP Code: 11967-3938
Phone: (631) 543-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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