Provider Demographics
NPI:1104114685
Name:RUBY-SACHS, KATE
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:RUBY-SACHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 70 QUEENS BOULEVARD
Mailing Address - Street 2:STE 307
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3694
Mailing Address - Country:US
Mailing Address - Phone:718-275-4174
Mailing Address - Fax:718-275-4280
Practice Address - Street 1:104 70 QUEENS BOULEVARD
Practice Address - Street 2:STE 307
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3694
Practice Address - Country:US
Practice Address - Phone:718-275-4174
Practice Address - Fax:718-275-4280
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)