Individual ProviderEileen RubinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address75 W Shore Rd Unit 18, Port Washington, NY 11050-3007(516) 606-0368PECOS EnrollmentBased on the most recent information from CMS, provider Eileen Rubin is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124206826Provider TypeIndividualFull NameRubin, EileenCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/5/2008Last Updated1/5/2017Contact InformationPractice LocationPractice Address75 W Shore Rd Unit 18, Port Washington, NY 11050-3007Phone(516) 606-0368FaxUnlisted FaxMailing LocationMailing Address75 W Shore Rd Unit 18, Port Washington, NY 11050-3007Phone(516) 606-0368FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense071296New York