Healthcare Provider Details

I. General information

NPI: 1639271877
Provider Name (Legal Business Name): RUSLINK LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 76 QUEENS BLVD STE 1C
FOREST HILLS NY
11375
US

IV. Provider business mailing address

33 25 90TH STREET STE 5G
JACKSON HEIGHTS NY
11372
US

V. Phone/Fax

Practice location:
  • Phone: 646-645-8016
  • Fax:
Mailing address:
  • Phone: 646-645-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR0478551
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0478551
License Number StateNY

VIII. Authorized Official

Name: MS. MADLENA ROZENBLYUM
Title or Position: PRESIDENT
Credential: LCSW
Phone: 646-645-8016