Provider Demographics
NPI:1164539003
Name:RUBENSTEIN, ALLAN E (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:E
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 32ND ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6004
Mailing Address - Country:US
Mailing Address - Phone:212-264-9695
Mailing Address - Fax:212-974-1042
Practice Address - Street 1:160 E 32ND ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6004
Practice Address - Country:US
Practice Address - Phone:212-264-9695
Practice Address - Fax:212-974-1042
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1125342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2123571OtherAETNA
P926309OtherOXFORD
AR09652010Medicare ID - Type Unspecified
P926309OtherOXFORD