Provider Demographics
NPI:1548681208
Name:RABINOWITZ, DAVIDA
Entity type:Individual
Prefix:
First Name:DAVIDA
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAVIDA
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 PAULISON AVE
Mailing Address - Street 2:9
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055
Mailing Address - Country:US
Mailing Address - Phone:973-487-6918
Mailing Address - Fax:
Practice Address - Street 1:150 PAULISON AVE
Practice Address - Street 2:9
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055
Practice Address - Country:US
Practice Address - Phone:973-487-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055353001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical