Individual
JONATHON NICHOLAS RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0176253
NY
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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