Provider Demographics
NPI:1184784217
Name:TOONE, EILEEN (CSW)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:TOONE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5545
Mailing Address - Country:US
Mailing Address - Phone:516-804-5131
Mailing Address - Fax:516-398-4586
Practice Address - Street 1:2415 JERUSALEM AVE
Practice Address - Street 2:STE 107
Practice Address - City:N BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710
Practice Address - Country:US
Practice Address - Phone:516-873-1288
Practice Address - Fax:516-308-4586
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0338391104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
R49699Medicare UPIN
NYN93371Medicare ID - Type Unspecified