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Bobby Staley, L.C.S.W
NPI 1649512112 · on the registry since 2013 · sole proprietor
Practice
- Address
- 19605 Foothill Ave
Hollis, NY 11423 - Phone
- (917) 680-0082
- Organisation at this address
- Staley Psychiatric Nurse Practitioner Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York