| Marobanlcsw Pc | |
|
85 5th Avenue Suite 903 New York NY 10003-3019 | |
| (212) 367-3798 | |
| (718) 935-9565 |
| Full Name | Marobanlcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 85 5th Avenue, New York, New York |
| Authorized Official Name and Position | Mark Mitchel Roberts (CORPORATE OFFICER) |
| Authorized Official Contact | 2123673798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marobanlcsw Pc 85 5th Avenue Suite 903 New York NY 10003-3019 Ph: (212) 367-3798 | Marobanlcsw Pc 85 5th Avenue Suite 903 New York NY 10003-3019 Ph: (212) 367-3798 |
| NPI Number | 1467513481 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 06/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467513481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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