| Ruslink Ltd | |
|
98 76 Queens Blvd Ste 1c Forest Hills NY 11375 | |
| (646) 645-8016 | |
| Not Available |
| Full Name | Ruslink Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 98 76 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Madlena Rozenblyum (PRESIDENT) |
| Authorized Official Contact | 6466458016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruslink Ltd 33 25 90th Street Ste 5g Jackson Heights NY 11372 Ph: (646) 645-8016 | Ruslink Ltd 98 76 Queens Blvd Ste 1c Forest Hills NY 11375 Ph: (646) 645-8016 |
| NPI Number | 1639271877 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941209043 |
|---|---|
| Medicare Enrollment ID | O20061219000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639271877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R0478551 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | R0478551 (New York) | Primary |
| Provider Name | Madlena Rozenblyum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922100163 PECOS PAC ID: 5991720211 Enrollment ID: I20051005001293 |
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