Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 086099 | NY |
NPI | 1700840428 |
---|---|
Provider Name | James Milton Rubin |
First Address | New York, NY 10016-3823 |
Second Address | New York, NY 10016-3823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 09/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C07476 | (02) |