Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00044088 | WA |
Y | 207YP0228X | Pediatric Otolaryngology | MD00044088 | WA |
NPI | 1790860518 |
---|---|
Provider Name | Jay Tal Rubinstein |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 12/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143630 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8401069 | (05) | WA |
F92991 | (02) |