Provider Demographics
NPI:1104163633
Name:LINDA RUBEN INC.
Entity type:Organization
Organization Name:LINDA RUBEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.A CCC-SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:631-509-5672
Mailing Address - Street 1:P.O. BOX 5550
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764
Mailing Address - Country:US
Mailing Address - Phone:718-281-8664
Mailing Address - Fax:631-752-0535
Practice Address - Street 1:5 DAKOTA DRIVE
Practice Address - Street 2:ST MARY'S HOME HEALTH CARE
Practice Address - City:NASSAU COUNTY
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:718-281-8664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty