Provider Demographics
NPI:1104716810
Name:RABIN, YOSEF YITZCHOK
Entity type:Individual
Prefix:
First Name:YOSEF
Middle Name:YITZCHOK
Last Name:RABIN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E NEW YORK AVE # 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1166
Mailing Address - Country:US
Mailing Address - Phone:917-500-3833
Mailing Address - Fax:
Practice Address - Street 1:667 EASTERN PKWY # 3R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3310
Practice Address - Country:US
Practice Address - Phone:718-774-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102870104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker