Provider Demographics
NPI:1073885554
Name:RUBINFELD, ERIC C
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:C
Last Name:RUBINFELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 QUEENS BLVD
Mailing Address - Street 2:QUEENS CENTER MALL
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4900
Mailing Address - Country:US
Mailing Address - Phone:718-592-5200
Mailing Address - Fax:718-592-7902
Practice Address - Street 1:9015 QUEENS BLVD
Practice Address - Street 2:QUEENS CENTER MALL
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4900
Practice Address - Country:US
Practice Address - Phone:718-592-5200
Practice Address - Fax:718-592-7902
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4855152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist