Healthcare Provider Details

I. General information

NPI: 1750117453
Provider Name (Legal Business Name): ADINA RUBIN-BUDICK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WASHINGTON PARK APT 1B
BROOKLYN NY
11205-4023
US

IV. Provider business mailing address

208 WASHINGTON PARK APT 1B
BROOKLYN NY
11205-4023
US

V. Phone/Fax

Practice location:
  • Phone: 347-470-4816
  • Fax:
Mailing address:
  • Phone: 347-470-4816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number026662
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: