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General NPI Number Information
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NPI Number | 1639271877
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Entity Type | Organization
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Legal Business Name | RUSLINK LTD
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 98 76 QUEENS BLVD STE 1C
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 646-645-8016
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Fax |
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Provider Business Mailing Address
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Address Line | 33 25 90TH STREET STE 5G
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 646-645-8016
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MADLENA ROZENBLYUM
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Credential | LCSW
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Telephone | 646-645-8016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R0478551
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R0478551
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License Number State | NY
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