Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 04132 | NY |
Y | 222Z00000X | Podiatrist | 04132 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 04132 | NY |
N | 111NR0200X | Radiology | 04132 | NY |
N | 213ER0200X | Radiology | 04132 | NY |
N | 2081S0010X | Sports Medicine | 04132 | NY |
N | 213ES0000X | Sports Medicine | 04132 | NY |
N | 213ES0131X | Foot Surgery | 04132 | NY |
NPI | 1437149291 |
---|---|
Provider Name | Mr. Mitchell Rubin |
First Address | Larchmont, NY 10538-3500 |
Second Address | Larchmont, NY 10538-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 18/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0048654 | GHI (01) | NY |
0098513-2 | (05) | NY |
0582761 | AETNA US HEALTHCARE (01) | NY |
058-2761 | AETNA GOLDEN MEDICARE (01) | NY |
1C1595 | PHS (01) | NY |
37050 | GHI HMO (01) | NY |
582-761 | US HEALTH (01) | NY |
751365 | (02) | NY |
P4359 | BLUE CHOICE (01) | NY |
RS048 | OXFORD (01) | NY |