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NPI Code Detail

MEDICARE: MR. MOSHE ZEV RUBEL

MEDICARE: MR. MOSHE ZEV RUBEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1023527785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOSHE ZEV RUBEL
Provider Business Mailing Address
First Line : 156 BEACH 9TH ST
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-5636
Country : US
Telephone Number : 718-686-3149
Fax Number : 718-686-4149
Provider Business Practice Location Address
First Line : 156 BEACH 9TH ST STE C
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-5600
Country : US
Telephone Number : 718-686-3149
Fax Number : 718-686-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

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