Provider Demographics
NPI:1699966960
Name:RUBENSTEIN, ELIZABETH FOSTER (DPM)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:FOSTER
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3534
Mailing Address - Country:US
Mailing Address - Phone:718-961-5320
Mailing Address - Fax:
Practice Address - Street 1:659 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3534
Practice Address - Country:US
Practice Address - Phone:718-961-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-02
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004764213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02808Medicare PIN