1942548250 NPI number — CARERITE LLC

Table of content: SAMANTHA RUBIN MS, LPC, NCC (NPI 1134746753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942548250 NPI number — CARERITE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARERITE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942548250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
52 BROADWAY # B
Provider Second Line Business Mailing Address:
SUITE
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11249-5970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-909-1811
Provider Business Mailing Address Fax Number:
888-420-9690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 CO OP CITY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10475-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-764-0008
Provider Business Practice Location Address Fax Number:
888-420-9690
Provider Enumeration Date:
01/21/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KLEIN
Authorized Official First Name:
SOLOMON
Authorized Official Middle Name:
Authorized Official Title or Position:
AUTHORIZED OFFICIAL
Authorized Official Telephone Number:
347-909-1811

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)