Individual
MR. ROBERT MACK KRAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC (ON HOLD)
Contact information
Practice address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1330
(516) 897-1149
Mailing address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1330
(516) 897-1149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9503 (INACTIVE)
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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