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NPI Code Detail

MEDICARE: ANGELICA RUBIO

MEDICARE:   ANGELICA  RUBIO
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
11041C0700XClinical Social Worker099143NY
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1124442546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA RUBIO
Provider Business Mailing Address
First Line : 3 ANGELICA CT
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8501
Country : US
Telephone Number : 347-741-6228
Fax Number :
Provider Business Practice Location Address
First Line : 3 ANGELICA CT
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8501
Country : US
Telephone Number : 347-741-6228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2014
Last Update Date : 05/04/2026

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