1295771913 NPI number — MS. ARLENE RUBIN LCSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295771913 NPI number — MS. ARLENE RUBIN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUBIN
Provider First Name:
ARLENE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FALB
Provider Other First Name:
ARLENE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1295771913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6260 99TH ST
Provider Second Line Business Mailing Address:
APT 324
Provider Business Mailing Address City Name:
REGO PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11374-1842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-897-6145
Provider Business Mailing Address Fax Number:
718-897-6145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 JERUSALEM AVE
Provider Second Line Business Practice Location Address:
ROOM 1 SECOND FLOOR
Provider Business Practice Location Address City Name:
HICKSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11801-4906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-931-0777
Provider Business Practice Location Address Fax Number:
718-897-6145
Provider Enumeration Date:
06/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  R0316451 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01475525 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6269285 . This is a "UNITEDHEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7400376 . This is a "VALUEOPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7400376 . This is a "GHI FLEX SELECT PPO NETWO" identifier . This identifiers is of the category "OTHER".
  • Identifier: R031645 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: A1028 . This is a "1199 SEIU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10990100 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: P40147860 . This is a "MULTI PLAN PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: N49151 . This is a "EMPIRE BCBS NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7629097 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 108776 . This is a "GUARDIAN HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: P589980 . This is a "OXFORD HEALTH INSURANCE C" identifier . This identifiers is of the category "OTHER".




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