Rubin, Roberta Gail
Rubin, Roberta Gail is an individual health care provider with primary practice located at 4 Executive Blvd , Suffern NY 10901-4173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Rubin, Roberta Gail can be contacted via phone (845) 368-7403.Contact Information
Primary practice address
4 Executive Blvd
Suffern NY 10901-4173
Phone: (845) 368-7403
Fax: (846) 369-7082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 83996 | New York |
Profile Details
| NPI number | 1689665978 |
|---|---|
| LBN Legal business name | Rubin, Roberta Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689665978 | NPPES |
| New Jersey | MEDICAID | 0326003 |
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