Provider Demographics
NPI:1578597563
Name:INFINITY LIFE MEDICAL, P.C.
Entity Type:Organization
Organization Name:INFINITY LIFE MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:347-282-6045
Mailing Address - Street 1:1150 BRIGHTON BEACH AVE APT 1CC
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5964
Mailing Address - Country:US
Mailing Address - Phone:718-332-8064
Mailing Address - Fax:718-332-8063
Practice Address - Street 1:1150 BRIGHTON BEACH AVE APT 1CC
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5964
Practice Address - Country:US
Practice Address - Phone:718-332-8064
Practice Address - Fax:718-332-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225667207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty