Healthcare Provider Details

I. General information

NPI: 1053712620
Provider Name (Legal Business Name): ANN M. RUBINSTEIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BROAD ST SUITE 1511
NASHUA NH
03063-3239
US

IV. Provider business mailing address

154 BROAD ST SUITE 1511
NASHUA NH
03063-3239
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-5551
  • Fax: 603-577-5576
Mailing address:
  • Phone: 603-577-5551
  • Fax: 603-577-5576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number335
License Number StateNH

VIII. Authorized Official

Name: ANN M RUBINSTEIN
Title or Position: OWNER
Credential: LCMHC
Phone: 603-577-5551