Provider Demographics
NPI:1184484537
Name:RUBEO, CAROL NAJM (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:NAJM
Last Name:RUBEO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:NAJM
Other - Last Name:KASSAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:5 BRUNDAGE ST
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2004
Mailing Address - Country:US
Mailing Address - Phone:914-374-1264
Mailing Address - Fax:
Practice Address - Street 1:81 HOLLY HILL LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-2944
Practice Address - Country:US
Practice Address - Phone:203-792-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405621363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health