Provider Demographics
NPI:1972184091
Name:COBO, VICTOR H III (LCSW)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:H
Last Name:COBO
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GREYCOURT RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-4509
Mailing Address - Country:US
Mailing Address - Phone:718-790-3182
Mailing Address - Fax:
Practice Address - Street 1:405 UNION AVE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6425
Practice Address - Country:US
Practice Address - Phone:845-563-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0911291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical