Provider Demographics
NPI:1902151913
Name:VIJ, RUBINA K (CASAC)
Entity Type:Individual
Prefix:
First Name:RUBINA
Middle Name:K
Last Name:VIJ
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:RUBINA
Other - Middle Name:K
Other - Last Name:BEDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASAC
Mailing Address - Street 1:140 ROUTE 303 STE J
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-5907
Mailing Address - Country:US
Mailing Address - Phone:845-267-2172
Mailing Address - Fax:845-267-2174
Practice Address - Street 1:140 ROUTE 303 STE J
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-5907
Practice Address - Country:US
Practice Address - Phone:845-267-2172
Practice Address - Fax:845-267-2174
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)