Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 231751 | NY |
N | 208600000X | Surgeon | 231751 | NY |
N | 208200000X | Surgeon | 4301091453 | MI |
N | 208600000X | Surgeon | 4301091453 | MI |
Y | 2086S0102X | Surgical Critical Care | 231751 | NY |
N | 2086S0129X | Vascular Surgeon | 046504 | CT |
NPI | 1245324359 |
---|---|
Provider Name | Dr. Jonathon Aaron Rubin |
First Address | Garden City, NY 11530-4721 |
Second Address | Garden City, NY 11530-4721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02818091 | (05) | NY |