Provider Demographics
NPI:1861117319
Name:RUBINSTEIN, ATARA (LSW)
Entity type:Individual
Prefix:
First Name:ATARA
Middle Name:
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CABINFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2000
Mailing Address - Country:US
Mailing Address - Phone:732-330-3710
Mailing Address - Fax:
Practice Address - Street 1:6 CABINFIELD CIR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2000
Practice Address - Country:US
Practice Address - Phone:732-330-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist