Robert L Harley | Mount Vernon, NY • PECOS Search

Robert L Harley

Social Worker

Behavioral Health & Social Service Providers

100 Stevens Ave, Mount Vernon, NY 10550-2600

(917) 435-3753 (914) 667-2326

PECOS Enrollment

Based on the most recent information from CMS, provider Robert L Harley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1508091463
Provider Type
Individual
Full Name
Harley, Robert L
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/21/2009
Last Updated
5/21/2009

Contact Information

Practice Location

100 Stevens Ave, Mount Vernon, NY 10550-2600

Unlisted Fax

Mailing Location

7 Forster Pkwy, Mount Vernon, NY 10552-1905

(914) 667-7107

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 072534 New York