Provider Demographics
NPI:1235121112
Name:RUBIN, CHERYL J (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:J
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:507 AIRPORT EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5238
Mailing Address - Country:US
Mailing Address - Phone:845-262-5313
Mailing Address - Fax:845-262-5330
Practice Address - Street 1:327 ROUTE 59
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-356-2900
Practice Address - Fax:845-356-7797
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY160306207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200021081OtherRAILROAD MEDICARE
NY570F23OtherEMPIRE BCBS (AIRMONT)
NY603433OtherMVP (AIRMONT/STONY POINT)
NY0038267OtherGHI PPO
NY0455138OtherAETNA HMO
NY570F22OtherEMPIRE BCBS (MONROE)
NY01077361Medicaid
NY0D5327OtherHEALTHNET
NY391638OtherMVP (MONROE)
NY4667162OtherAETNA PPO
NY570F21OtherEMPIRE BCBS (MONROE)
NY200021081OtherRAILROAD MEDICARE
NY0038267OtherGHI PPO
NY570F23OtherEMPIRE BCBS (AIRMONT)