Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 213058 | NY |
NPI | 1477536654 |
---|---|
Provider Name | Ran Y Rubinstein |
First Address | Newburgh, NY 12550-6520 |
Second Address | Newburgh, NY 12550-6520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 02/10/2013 |