Provider Demographics
NPI:1275803892
Name:RUBIN BRECHER MD LLC
Entity Type:Organization
Organization Name:RUBIN BRECHER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-851-1186
Mailing Address - Street 1:6 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1828
Mailing Address - Country:US
Mailing Address - Phone:718-851-1186
Mailing Address - Fax:
Practice Address - Street 1:736 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1116
Practice Address - Country:US
Practice Address - Phone:718-851-7786
Practice Address - Fax:718-853-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165798207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY172663OtherWELLCARE
NY01168941Medicaid
NY28967POtherHIP
NY4265264OtherAETNA
NY29160101OtherHEALTHPLUS
NY165798SOtherHEALTHCARE PARTNERS
NYKS265OtherOXFORD
NYIC3114OtherHEALTHNET
NY16075OtherGHI
NYIC3114OtherHEALTHNET
NY28967POtherHIP