Individual
MS. CAROLINE S REUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
17108 JAMAICA AVE, JAMAICA, NY 11432-5428
(718) 269-8222
(718) 480-6150
Mailing address
17108 JAMAICA AVE, JAMAICA, NY 11432-5428
(718) 269-8222
(347) 238-1251
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
2082444
NY
311ZA0620X
Adult Care Home Facility
Primary
2082444DCA
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06057914
—
NY
Enumeration date
04/16/2019
Last updated
12/12/2023
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