Provider Demographics
NPI:1558489633
Name:REUBEN, NANCY E (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:REUBEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 SAM HILL RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2504
Mailing Address - Country:US
Mailing Address - Phone:914-251-6380
Mailing Address - Fax:914-251-6388
Practice Address - Street 1:735 ANDERSON HILL RD
Practice Address - Street 2:PURCHASE COLLEGE
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-1402
Practice Address - Country:US
Practice Address - Phone:914-251-6380
Practice Address - Fax:914-251-6388
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154713390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program