Provider Demographics
NPI:1144331026
Name:RUBIN, DEBORAH (LCSW, BCD, PHD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LCSW, BCD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W 56TH ST APT 30H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4324
Mailing Address - Country:US
Mailing Address - Phone:212-757-4202
Mailing Address - Fax:212-757-2902
Practice Address - Street 1:211 W 56TH ST APT 30H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4324
Practice Address - Country:US
Practice Address - Phone:212-757-4202
Practice Address - Fax:212-757-2902
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR052127-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical