Richard Staab

NPI #1457712275 in North Baldwin, New York

Provider Information

NPI Number
1457712275
Entity Type
Individual
Name
Richard Staab
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 8, 2016
Last Updated
Mar 8, 2016

Practice Location

Address
1976 GRAND AVE
ZIP Code
11510-2813
Phone
(516) 855-1800

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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