| Lori J. Rubin Llc | |
|
145 County Rd Cresskill NJ 07626-2266 | |
| (201) 224-2097 | |
| Not Available |
| Full Name | Lori J. Rubin Llc |
|---|---|
| Speciality | Psychologist |
| Location | 145 County Rd, Cresskill, New Jersey |
| Authorized Official Name and Position | Lori J Rubin (PSYCHOLOGIST) |
| Authorized Official Contact | 2016382735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J. Rubin Llc 216 County Rd Tenafly NJ 07670-1816 Ph: (201) 638-2735 | Lori J. Rubin Llc 145 County Rd Cresskill NJ 07626-2266 Ph: (201) 224-2097 |
| NPI Number | 1417732694 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3072963818 |
|---|---|
| Medicare Enrollment ID | O20231220001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417732694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Lori J Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720284003 PECOS PAC ID: 2365432002 Enrollment ID: I20040514000944 |
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