Healthcare Provider Details

I. General information

NPI: 1003720772
Provider Name (Legal Business Name): REFLECTIONS WITH RUBINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MEDWAY AVE
CONGERS NY
10920-2505
US

IV. Provider business mailing address

41 MEDWAY AVE
CONGERS NY
10920-2505
US

V. Phone/Fax

Practice location:
  • Phone: 845-422-0700
  • Fax:
Mailing address:
  • Phone: 845-422-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: RUBINA K VIJ
Title or Position: OWNER
Credential: LCSW, CASAC
Phone: 845-422-0700