Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 218934 | NY |
N | 111NI0900X | Internist | 218934 | NY |
Y | 207RN0300X | Nephrologist | 218934 | NY |
NPI | 1043279045 |
---|---|
Provider Name | Sofia Rubinstein |
First Address | East Meadow, NY 11554-1859 |
Second Address | East Meadow, NY 11554-1859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 10/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02686822 | (05) | NY |
I46581 | (02) | NY |