Provider Demographics
NPI:1003984584
Name:RUBINSTEIN, GREGG DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:DANIEL
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W 57TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2136
Mailing Address - Country:US
Mailing Address - Phone:212-977-7094
Mailing Address - Fax:
Practice Address - Street 1:225 W 57TH ST STE 403
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2136
Practice Address - Country:US
Practice Address - Phone:212-977-7094
Practice Address - Fax:212-489-3588
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006885-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY050006885NY01OtherANTHEM
NY350050120OtherRAILROADMEDICARE
NY5897494OtherGHI
NYX8H05OtherBLUECROSS
NYP660931OtherOXFORD
NYP660931OtherOXFORD
NYX8H05OtherBLUECROSS