Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 237546-1 | NY |
N | 207VX0000X | Obstetrician | 237546-1 | NY |
NPI | 1063487742 |
---|---|
Provider Name | Joyce D Rubin |
First Address | Islandia, NY 11749-5301 |
Second Address | Islandia, NY 11749-5301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 06/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0104478 | GHI (01) | NY |
02711315 | (05) | NY |
0778181 | CIGNA (01) | NY |
237546 | HIP (01) | NY |
2577494 | UNITED HEALTHCARE (01) | NY |
4256082 | AETNA (01) | NY |
5C5859 | HEALTHNET/PHS (01) | NY |
817C71 | BLUE CROSS BLUE SHIELD (01) | NY |
I52275 | (02) | NY |
P00468552 | RAIL ROAD MEDICARE (01) | NY |
P3702216 | OXFORD (01) | NY |