MEDICARE: SHLOMO RUBENSTEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		NY

General Provider Information

NPI Number	:	1053269753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHLOMO RUBENSTEIN

Provider Business Mailing Address
First Line	:	1481 40TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-6178
Country	:	US
Telephone Number	:	718-285-7522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4213
Country	:	US
Telephone Number	:	718-285-7522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ SHLOMO RUBENSTEIN ” Practice Location

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