Individual
AVITAL RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W ENGLEWOOD AVE, TEANECK, NJ 07666-2850
(201) 837-1893
Mailing address
365 W ENGLEWOOD AVE, TEANECK, NJ 07666-2850
(201) 837-1893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00719200
NJ
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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