Provider Demographics
NPI:1891901815
Name:RUBEN DYBNER MD PAUL AARONSON MD
Entity Type:Organization
Organization Name:RUBEN DYBNER MD PAUL AARONSON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-544-5670
Mailing Address - Street 1:10923 71ST RD
Mailing Address - Street 2:BASEMENT
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4849
Mailing Address - Country:US
Mailing Address - Phone:718-544-5670
Mailing Address - Fax:718-520-7105
Practice Address - Street 1:10923 71ST RD
Practice Address - Street 2:BASEMENT
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4849
Practice Address - Country:US
Practice Address - Phone:718-544-5670
Practice Address - Fax:718-520-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY51866AMedicare ID - Type Unspecified