Provider Demographics
NPI:1790325231
Name:KOBRIN, RUTH FREEDMAN (LMSW)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:FREEDMAN
Last Name:KOBRIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:FREEDMAN
Other - Last Name:KOBRIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:135 W 50TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020-1201
Mailing Address - Country:US
Mailing Address - Phone:917-902-4806
Mailing Address - Fax:
Practice Address - Street 1:7 W 83RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5201
Practice Address - Country:US
Practice Address - Phone:646-454-3180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health