| NPI | 1467513481 |
|---|---|
| Former Legal Business Name | MARBOBANCSW PC |
| Entity Type | Organization |
| Authorized Contact | MARK MITCHEL ROBERTS Corporate Officer 212-367-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-28 |