Provider Demographics
NPI:1023111648
Name:RUBINSTEIN, EMILY S (PH D)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:S
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16409 BRAEBURN RIDGE TRAIL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446
Mailing Address - Country:US
Mailing Address - Phone:561-637-9668
Mailing Address - Fax:561-637-9048
Practice Address - Street 1:187 PATTERSON AVENUE
Practice Address - Street 2:APT 304
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432
Practice Address - Country:US
Practice Address - Phone:201-848-0068
Practice Address - Fax:561-637-9048
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJSI2182103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ606713Medicare ID - Type Unspecified