Provider Demographics
NPI:1295837680
Name:RUBINSTEIN, SANFORD MICHAEL
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:MICHAEL
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:SANFORD
Other - Middle Name:MICHAEL
Other - Last Name:RUBINSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-0237
Mailing Address - Country:US
Mailing Address - Phone:845-626-7370
Mailing Address - Fax:845-626-7370
Practice Address - Street 1:12 SHELDON DRIVE
Practice Address - Street 2:
Practice Address - City:KERHONKSON
Practice Address - State:NY
Practice Address - Zip Code:12446-0237
Practice Address - Country:US
Practice Address - Phone:845-626-7370
Practice Address - Fax:845-626-7370
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023730122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist