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Individual
SAM SOBEL
Active
Individual
SAM SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
045513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256FV
MEDICARE GHI
NY
01
—
7479547
GHI
—
01
—
P1971101
OXFORD
—
Enumeration date
09/06/2006
Last updated
11/24/2009
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