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NPI Code Detail

MEDICARE: JOANNE GOLD RUBIN LCSW

MEDICARE:   JOANNE GOLD RUBIN  LCSW
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
11041C0700XClinical Social WorkerPR019306-1NY

General Provider Information

NPI Number : 1326570573
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE GOLD RUBIN LCSW
Provider Business Mailing Address
First Line : 62 PRINCETON ST
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2426
Country : US
Telephone Number : 516-650-3617
Fax Number :
Provider Business Practice Location Address
First Line : 62 PRINCETON ST
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2426
Country : US
Telephone Number : 516-650-3617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/28/2017

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Directions to “ JOANNE GOLD RUBIN LCSW” Practice Location

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