Provider Demographics
NPI:1700840428
Name:RUBIN, JAMES MILTON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MILTON
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E 35TH ST
Mailing Address - Street 2:#202
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3823
Mailing Address - Country:US
Mailing Address - Phone:212-685-4225
Mailing Address - Fax:212-696-5682
Practice Address - Street 1:35 E 35TH ST
Practice Address - Street 2:#202
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3823
Practice Address - Country:US
Practice Address - Phone:212-685-4225
Practice Address - Fax:212-696-5682
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086099207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
C07476Medicare UPIN
264451Medicare ID - Type Unspecified