Individual
DR. CHARLES HOCHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW, LCSW
Contact information
Practice address
998 CROOKED HILL ROAD, BRENTWOOD, NY 11717
(631) 761-4157
(631) 761-4184
Mailing address
998 CROOKED HILL ROAD, BRENTWOOD, NY 11717
(631) 761-4157
(631) 761-4184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RO25721-1
NY
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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