Rubin, Mary Ellen
Rubin, Mary Ellen is an sole proprietor health care provider with primary practice located at 6245 Sheridan Dr Suite 218, Williamsville NY 14221-4834. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rubin, Mary Ellen can be contacted via phone (716) 632-5563.Contact Information
Primary practice address
6245 Sheridan Dr Suite 218
Williamsville NY 14221-4834
Phone: (716) 632-5563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 005749-1 | New York |
Profile Details
| NPI number | 1962496240 |
|---|---|
| LBN Legal business name | Rubin, Mary Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962496240 | NPPES |
| New York | Other | 000507521001 | BLUE CROSS |
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