Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 106418 | NY |
NPI | 1598867814 |
---|---|
Provider Name | Dr. Elliot Rubinstein |
First Address | Ithaca, NY 14850 |
Second Address | Ithaca, NY 14850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |