Provider Demographics
NPI:1639271877
Name:RUSLINK LTD
Entity Type:Organization
Organization Name:RUSLINK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MADLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZENBLYUM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-645-8016
Mailing Address - Street 1:33 25 90TH STREET
Mailing Address - Street 2:STE 5G
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372
Mailing Address - Country:US
Mailing Address - Phone:646-645-8016
Mailing Address - Fax:
Practice Address - Street 1:98 76 QUEENS BLVD
Practice Address - Street 2:STE 1C
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:646-645-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0478551101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty