Individual ProviderRobert C RedaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320(347) 547-7211(914) 674-4293PECOS EnrollmentBased on the most recent information from CMS, provider Robert C Reda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336343169Provider TypeIndividualFull NameReda, Robert CTitleMr.CredentialLCSWGenderMaleSole ProprietorNoEnumeration Date6/14/2007Last Updated11/15/2011Contact InformationPractice LocationPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320Phone(347) 547-7211Fax(347) 547-7197Mailing LocationMailing Address12 Manor House Dr, G17, Dobbs Ferry, NY 10522-2523Phone(914) 674-4293FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense079108-1New YorkCode174400000XDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID072839DescriptionOtherIssuerLICENSE NUMBERNew York