MEDICARE: MICHELLE SARA RUBINSTEIN MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	013222-1	NY

General Provider Information

NPI Number	:	1184860959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SARA RUBINSTEIN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	3218 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3218 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3410
Country	:	US
Telephone Number	:	718-986-2561
Fax Number	:

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

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	12/29/2008

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Directions to “ MICHELLE SARA RUBINSTEIN MS, CCC-SLP” Practice Location

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