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NPI 1962094078

NPI 1962094078 : RUBIN THERAPY LCSW, P.C. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1962094078
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    Entity Type          |    Organization 
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    Legal Business Name  |    RUBIN THERAPY LCSW, P.C. 
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Dates
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    Enumeration Date     |    02/09/2021
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    Last Update Date     |    02/23/2021
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Provider Practice Location Address
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    Address Line         |    41 SCHERMERHORN ST # 1036 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11201-4802
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    Country              |    US
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    Telephone            |    845-202-0652
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    41 SCHERMERHORN ST # 1036 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11201-4802
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    Country              |    US
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    Telephone            |    347-534-7356
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EMILY  RUBIN 
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    Credential           |    LCSW
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    Telephone            |    347-534-7356
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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       |    
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    License Number State |    
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