Provider Demographics
NPI:1033354626
Name:CHMIELEWSKI, ROBERT H (CASAE)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:CHMIELEWSKI
Suffix:
Gender:M
Credentials:CASAE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464-10 WILLIAM FLOYD PKWY
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967
Mailing Address - Country:US
Mailing Address - Phone:631-399-9217
Mailing Address - Fax:631-399-9225
Practice Address - Street 1:464-10 WILLIAM FLOYD
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967
Practice Address - Country:US
Practice Address - Phone:631-399-9217
Practice Address - Fax:631-399-9225
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical