Rubsam, Jeanne Marie
Rubsam, Jeanne Marie is an sole proprietor health care provider with primary practice located at 3959 Broadway # Chn2 , New York NY 10032-1559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rubsam, Jeanne Marie can be contacted via phone (212) 305-9911.Contact Information
Primary practice address
3959 Broadway # Chn2
New York NY 10032-1559
Phone: (212) 305-9911
Fax: (212) 305-6434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 380629-1 | New York |
Profile Details
| NPI number | 1982782595 |
|---|---|
| LBN Legal business name | Rubsam, Jeanne Marie |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 20th, 2013 - about 13 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 | 1982782595 | NPPES |
| New York | Other | 380629-1 | LICENSE |
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