MEDICARE: RUBIN ADOFO MENSAH

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
1	225X00000X	Occupational Therapist	024854	NY

General Provider Information

NPI Number	:	1740891332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBIN ADOFO MENSAH

Provider Business Mailing Address
First Line	:	1201 PENNSYLVANIA AVE APT 5G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-1210
Country	:	US
Telephone Number	:	718-208-7789
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 HEMPSTEAD TPKE
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-1111
Country	:	US
Telephone Number	:	516-565-1900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2020
Last Update Date	:	08/16/2020

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Directions to “ RUBIN ADOFO MENSAH ” Practice Location

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