Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 158805 | NY |
NPI | 1003857616 |
---|---|
Provider Name | Dr. David Scott Rubin |
First Address | Flushing, NY 11367-1131 |
Second Address | Flushing, NY 11367-1131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 01/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64824 | (02) | NY |