Provider Demographics
NPI:1003857616
Name:RUBIN, DAVID SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13847 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1131
Mailing Address - Country:US
Mailing Address - Phone:718-461-5813
Mailing Address - Fax:718-321-8095
Practice Address - Street 1:13847 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1131
Practice Address - Country:US
Practice Address - Phone:718-461-5813
Practice Address - Fax:718-321-8095
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY158805207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA64824Medicare UPIN