Provider Demographics
NPI:1639427875
Name:MAYER-RUBIN, CHANIE (MASTERS EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:CHANIE
Middle Name:
Last Name:MAYER-RUBIN
Suffix:
Gender:F
Credentials:MASTERS EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 58TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4528
Mailing Address - Country:US
Mailing Address - Phone:323-215-8494
Mailing Address - Fax:
Practice Address - Street 1:1251 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4528
Practice Address - Country:US
Practice Address - Phone:323-215-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist