Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 276543 | NY |
N | 111NI0900X | Internist | 276543 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 276543 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 276543 | NY |
NPI | 1013275528 |
---|---|
Provider Name | Geoffrey Rubin |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 16/03/2020 |