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Individual

DR. JOANNE RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
120 HAMILTON AVE, 120 HAMILTON AVE., HASTINGS ON HUDSON, NY 10706-2405
(914) 310-5447
Mailing address
120 HAMILTON AVE, HASTINGS ON HUDSON, NY 10706-2405
(914) 310-5447

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01301901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01301901
NYS LICENSE
NY
01
1508001819
PNI
NY
Enumeration date
12/16/2008
Last updated
11/16/2009
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