Provider Demographics
NPI:1457545972
Name:REUBINS, MARC STEPHAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:STEPHAN
Last Name:REUBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MARC
Other - Middle Name:
Other - Last Name:REUBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5 APPLEGREEN DR
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1202
Mailing Address - Country:US
Mailing Address - Phone:516-626-3131
Mailing Address - Fax:516-626-3384
Practice Address - Street 1:5 APPLEGREEN DR
Practice Address - Street 2:
Practice Address - City:OLD WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11568-1202
Practice Address - Country:US
Practice Address - Phone:516-626-3131
Practice Address - Fax:516-626-3384
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1257982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry