Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 281962 | NY |
NPI | 1033458526 |
---|---|
Provider Name | Dr. Reuben David Burshtein |
First Address | Melville, NY 11747-2726 |
Second Address | Smithtown, NY 11787-3894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2013 |
Last Update Date | 07/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04501795 | (05) | NY |