Diane Tabak, R-LCSW
NPI #1760632921 in West Babylon, New York
Provider Information
- NPI Number
- 1760632921
- Entity Type
- Individual
- Name
- Diane Tabak, R-LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- R-LCSW
- Enumeration Date
- Sep 24, 2008
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 17 FORDHAM RD
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-5803
- Phone
- (631) 321-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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