1336172063 NPI number — CYNTHIA MYERS-RUBIN COUNSELING INC.

Table of content: (NPI 1336172063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336172063 NPI number — CYNTHIA MYERS-RUBIN COUNSELING INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CYNTHIA MYERS-RUBIN COUNSELING INC.
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:
6
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:
1336172063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20283 STATE ROAD 7
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33498-6901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-361-7287
Provider Business Mailing Address Fax Number:
561-477-6895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20283 STATE ROAD 7
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33498-6901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-361-7287
Provider Business Practice Location Address Fax Number:
561-477-6895
Provider Enumeration Date:
07/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MYERS-RUBIN
Authorized Official First Name:
CYNHTIA
Authorized Official Middle Name:
JOY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-361-7287

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW7639 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1134178247 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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