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ROBERT MANDELBAUM CASAC
NPI 1205035540
Counselor - Addiction (Substance Use Disorder) in Shirley, NY

Active since July 17, 2007
151 PARKWOOD DR, SHIRLEY, NY 11967(631) 543-6200 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Mandelbaum Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT MANDELBAUM CASAC (NPI 1205035540) is an individual addiction (substance use disorder) provider in Shirley, New York, licensed in New York (12388) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1205035540
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROBERT MANDELBAUMCredential: CASAC
Location Address151 PARKWOOD DRShirley, NY 11967-3938
Mailing Address151 Parkwood DrShirley, NY 11967-3938 · (631) 543-6200
Phone(631) 543-6200
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateApril 5, 2010
✔ NPI 1205035540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 12388
151 PARKWOOD DR, Shirley, NY 11967
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Other Identifiers 1

Other02249145NY · Casac

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mandelbaum's NPI number?

The NPI number for Robert Mandelbaum is 1205035540. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Robert Mandelbaum located?

Robert Mandelbaum practices at 151 Parkwood Dr, Shirley, NY 11967. The listed phone number is (631) 543-6200.

What is Robert Mandelbaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Robert Mandelbaum was last updated on April 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.