Provider Demographics
NPI:1538227871
Name:MOREY, AMY RUBIN (MS,LMHC,BCIA-C)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:RUBIN
Last Name:MOREY
Suffix:
Gender:F
Credentials:MS,LMHC,BCIA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MAIDEN LN
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1721
Mailing Address - Country:US
Mailing Address - Phone:516-433-5998
Mailing Address - Fax:516-433-8505
Practice Address - Street 1:175 JERICHO TPKE
Practice Address - Street 2:SUITE 213
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4532
Practice Address - Country:US
Practice Address - Phone:516-433-8505
Practice Address - Fax:516-433-8505
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health