Provider Demographics
NPI:1023044682
Name:HERBERT S RUBINOWITZ MD PC
Entity Type:Organization
Organization Name:HERBERT S RUBINOWITZ MD PC
Other - Org Name:HERBERT S RUBINOWITZ MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUBINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:212-477-4545
Mailing Address - Street 1:55 EAST 34 STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4337
Mailing Address - Country:US
Mailing Address - Phone:212-477-4545
Mailing Address - Fax:212-252-6179
Practice Address - Street 1:55 EAST 34 STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4337
Practice Address - Country:US
Practice Address - Phone:212-477-4545
Practice Address - Fax:212-252-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08449342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00127440Medicaid
NY00127440Medicaid
151291Medicare ID - Type Unspecified