Doctor Name: | MARTHA BERTI-RUBIN |
NPI Number: | 1922208974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 005094 |
Business Practice Address: | 67 Harned Rd Suite 1b Commack, NY - 117253500 |
Business Phone Number: | 6318645132 |
Business Fax Number: | 6312614955 |
Mailing Address: | 67 Harned Rd, Suite 1b COMMACK |
State: | NY |
Postal Code: | 117253500 |
Phone Number: | 6318645132 |
Fax Number: | 6312614955 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 07/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |