Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 007640-1 | NY |
NPI | 1013203942 |
---|---|
Provider Name | Aviva B Rubinstein |
First Address | Brooklyn, NY 11210-4608 |
Second Address | Brooklyn, NY 11210-4608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 20/06/2011 |