Provider Demographics
NPI:1063884328
Name:MICHELE RUBIN MD,PC.
Entity type:Organization
Organization Name:MICHELE RUBIN MD,PC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-282-8430
Mailing Address - Street 1:200 CORPORATE PLZ
Mailing Address - Street 2:SUITE A103
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1552
Mailing Address - Country:US
Mailing Address - Phone:631-282-8430
Mailing Address - Fax:631-234-2846
Practice Address - Street 1:200 CORPORATE PLZ
Practice Address - Street 2:SUITE A103
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1552
Practice Address - Country:US
Practice Address - Phone:631-282-8430
Practice Address - Fax:631-234-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty