Jonathan Bader Valid NPI
Individual provider · Social Worker · Copiague, NY
- NPI
- 1336014661
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 128902 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2025-10-07
- Last updated
- 2025-10-07
Practice location
445 Oak St
Copiague, NY 11726-3111
(631) 257-5173