| Doctor Name: | JOSE RUBIO |
| NPI Number: | 1083094130 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 6714 41st Ave Woodside, NY - 113778128 |
| Business Phone Number: | 7184584243 |
| Business Fax Number: | |
| Mailing Address: | 302 Stanhope St, Apt 1r BROOKLYN |
| State: | NY |
| Postal Code: | 112374328 |
| Phone Number: | 3472388278 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |