Provider Demographics
NPI:1821249889
Name:BRONXVILLE WOMEN'S CARE, PLLC
Entity Type:Organization
Organization Name:BRONXVILLE WOMEN'S CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUBEO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:914-337-3715
Mailing Address - Street 1:1 PONDFIELD RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3706
Mailing Address - Country:US
Mailing Address - Phone:914-337-3715
Mailing Address - Fax:
Practice Address - Street 1:1 PONDFIELD RD
Practice Address - Street 2:SUITE 302
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3706
Practice Address - Country:US
Practice Address - Phone:914-337-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143355207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06D951Medicare PIN
NYC05119Medicare UPIN