Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 111697 | NY |
NPI | 1164529673 |
---|---|
Provider Name | Miss Rosalinda Rubinstein |
First Address | New York, NY 10028 |
Second Address | New York, NY 10028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 12/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B78717 | (02) |