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Individual

DEVORAH RUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
329 NORWAY AVE, STATEN ISLAND, NY 10305-3524
(718) 987-9400
Mailing address
79 JOSEPH AVE, STATEN ISLAND, NY 10314-5013
(646) 647-6386

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007555-1
NY

Other

Enumeration date
09/18/2014
Last updated
09/19/2014
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