Individual
BENJAMIN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 571-3316
(203) 348-9378
Mailing address
16 THAMES BLVD, BERGENFIELD, NJ 07621-3910
(201) 244-1442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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