Provider Demographics
NPI:1700039625
Name:RUBINO, JERI ZIMMERMAN (MA-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JERI
Middle Name:ZIMMERMAN
Last Name:RUBINO
Suffix:
Gender:F
Credentials:MA-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 YALE PL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2424
Mailing Address - Country:US
Mailing Address - Phone:914-316-2099
Mailing Address - Fax:
Practice Address - Street 1:6 YALE PL
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2424
Practice Address - Country:US
Practice Address - Phone:914-316-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012308-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist