Provider Demographics
NPI:1689750432
Name:RUBIN, DONALD B (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:B
Last Name:RUBIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10792 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-3262
Mailing Address - Country:US
Mailing Address - Phone:607-962-0176
Mailing Address - Fax:
Practice Address - Street 1:154 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2802
Practice Address - Country:US
Practice Address - Phone:607-936-6933
Practice Address - Fax:607-936-3619
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN001871213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT26408Medicare UPIN