Individual provider · Type 1 NPI

Robert Mandelbaum, CASAC

Addiction (Substance Use Disorder) Counselor · Shirley, NY

NPI number 1205035540 Active

Practice location

151 Parkwood Dr
Shirley, NY 11967-3938

Call (631) 543-6200 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12388 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205035540

Robert Mandelbaum, CASAC's National Provider Identifier is 1205035540, issued on Jul 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shirley, NY. The record was last updated on Apr 5, 2010.