Individual
ELLEN I RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
21 W 86TH ST, SUITE 209, NEW YORK, NY 10024-3616
(212) 721-5546
Mailing address
22 BROADWAY, DOBBS FERRY, NY 10522
(914) 263-4115
(914) 479-0574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NY 010624
NY
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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