Provider Demographics
NPI:1801285333
Name:RUBINSHTEYN, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:RUBINSHTEYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:VISHNEVSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1510 OCEAN PKWY APT C12
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7061
Mailing Address - Country:US
Mailing Address - Phone:917-295-5275
Mailing Address - Fax:
Practice Address - Street 1:1510 OCEAN PKWY APT C12
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7061
Practice Address - Country:US
Practice Address - Phone:917-295-5275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CF235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist