Provider Demographics
NPI:1629259221
Name:RUBINSTEIN, LAUREN JILL (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:JILL
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 COLUMBUS AVE
Mailing Address - Street 2:APT 9J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1400
Mailing Address - Country:US
Mailing Address - Phone:845-222-6182
Mailing Address - Fax:
Practice Address - Street 1:600 COLUMBUS AVE
Practice Address - Street 2:APT 9J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1400
Practice Address - Country:US
Practice Address - Phone:845-222-6182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY547713-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse