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Organization
R RAYMOND TARTAKOFF LCSW PC
Active
Organization
R RAYMOND TARTAKOFF LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R RAYMOND TARTAKOFF LCSW (OWNER/GM)
(845) 647-2112
Entity
Organization
Contact information
Practice address
216 CONTINENTAL RD, NAPANOCH, NY 12458-2602
(845) 647-2112
Mailing address
216 CONTINENTAL RD, NAPANOCH, NY 12458-2602
(845) 647-2112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
053380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727242
—
NY
01
—
7491605
VALUE OPTIONS
—
Enumeration date
07/12/2016
Last updated
07/12/2016
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