Provider Demographics
NPI:1447264965
Name:TOTH, GEORGE BRUCE (LCSWR)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:BRUCE
Last Name:TOTH
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1568
Mailing Address - Country:US
Mailing Address - Phone:845-534-2980
Mailing Address - Fax:
Practice Address - Street 1:246 MAIN ST
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1568
Practice Address - Country:US
Practice Address - Phone:845-534-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05277011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical