Provider Demographics
NPI:1558874271
Name:KNOPFLER, TOBY (MS ED)
Entity Type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:KNOPFLER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WIDMAN CT UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3345
Mailing Address - Country:US
Mailing Address - Phone:845-905-5200
Mailing Address - Fax:
Practice Address - Street 1:12 WIDMAN CT UNIT 102
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3345
Practice Address - Country:US
Practice Address - Phone:917-242-2218
Practice Address - Fax:917-242-2218
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1140049171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist