Individual
BARRY TAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 HABITAT LN, CORTLANDT MANOR, NY 10567-5100
(917) 414-0109
Mailing address
36 HABITAT LN, CORTLANDT MANOR, NY 10567-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080197
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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