Provider Demographics
NPI:1164676086
Name:JOSEPH RABINOVITZ ED D PA
Entity Type:Organization
Organization Name:JOSEPH RABINOVITZ ED D PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:ED D PA
Authorized Official - Phone:561-241-8822
Mailing Address - Street 1:2295 NW CORPORATE BLVD
Mailing Address - Street 2:231
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7373
Mailing Address - Country:US
Mailing Address - Phone:561-241-8822
Mailing Address - Fax:561-995-9799
Practice Address - Street 1:2295 NW CORPORATE BLVD
Practice Address - Street 2:231
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7373
Practice Address - Country:US
Practice Address - Phone:561-241-8822
Practice Address - Fax:561-995-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4022101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty