Individual
JILL BARI TOBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 OAKS HUNT RD, GREAT NECK, NY 11020-1206
(516) 521-3401
Mailing address
18 OAKS HUNT RD, GREAT NECK, NY 11020-1206
(516) 521-3401
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/23/2008
Last updated
06/07/2012
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