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NPI Code Detail

MEDICARE: UNITED STATES MEMORY CHECK PSYCHOLOGY SERVICES, PC

MEDICARE: UNITED STATES MEMORY CHECK PSYCHOLOGY SERVICES, PC
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 Worker
2103TC0700XClinical Psychologist059213NY

General Provider Information

NPI Number : 1548205784
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED STATES MEMORY CHECK PSYCHOLOGY SERVICES, PC
Provider Business Mailing Address
First Line : 3512 QUENTIN RD
Second Line : SUITE 140
City : BROOKLYN
State : NY
Zip : 11234-4231
Country : US
Telephone Number : 347-633-3052
Fax Number : 718-854-8369
Provider Business Practice Location Address
First Line : 3512 QUENTIN RD
Second Line : SUITE 140
City : BROOKLYN
State : NY
Zip : 11234-4231
Country : US
Telephone Number : 347-633-3052
Fax Number : 718-854-8369
Authorized Official
Title or Position : PRESIDENT
Name : DR. ISRAEL RUBINSTEIN
Credential : PH.D.
Telephone Number : 718-854-8370
Provider Enumeration Date : 06/19/2006
Last Update Date : 01/20/2012

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