Provider Demographics
NPI:1689866469
Name:ORNSTEIN, ROBERT (MSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:ORNSTEIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 SHERMAN COURT
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1829
Mailing Address - Country:US
Mailing Address - Phone:914-526-3474
Mailing Address - Fax:
Practice Address - Street 1:2974 SHERMAN COURT
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1829
Practice Address - Country:US
Practice Address - Phone:914-526-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0274621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNE4061Medicare UPIN