Provider Demographics
NPI:1881837862
Name:RUBINSTEIN, DALITA LOUISE (EDD)
Entity Type:Individual
Prefix:DR
First Name:DALITA
Middle Name:LOUISE
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O TRS PROF. SUITE 44 E. 32 ST.
Mailing Address - Street 2:11 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5508
Mailing Address - Country:US
Mailing Address - Phone:212-685-2848
Mailing Address - Fax:212-689-4497
Practice Address - Street 1:TRS PROF. SUITE 44 E. 32 ST.
Practice Address - Street 2:11 FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5508
Practice Address - Country:US
Practice Address - Phone:212-685-2848
Practice Address - Fax:212-689-4497
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health