Provider Demographics
NPI:1588813190
Name:SHERMAN RUBIN, MD
Entity Type:Organization
Organization Name:SHERMAN RUBIN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-665-9531
Mailing Address - Street 1:9207 ROOSEVELT AVENUE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7941
Mailing Address - Country:US
Mailing Address - Phone:718-396-3241
Mailing Address - Fax:
Practice Address - Street 1:9207 ROOSEVELT AVENUE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7941
Practice Address - Country:US
Practice Address - Phone:718-396-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty