Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 278663-1 | NY |
NPI | 1700150877 |
---|---|
Provider Name | Stella Rubina |
First Address | Astoria, NY 11102-2448 |
Second Address | Astoria, NY 11102-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 07/12/2017 |