Provider Demographics
NPI:1952544611
Name:RUBINSTEIN, TAMAR (MD)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 SYLVAN AVENUE
Mailing Address - Street 2:APT 1G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2629
Mailing Address - Country:US
Mailing Address - Phone:240-305-4667
Mailing Address - Fax:
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:PEDIATRIC RHEUMATOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-696-2604
Practice Address - Fax:718-944-0463
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2841282080P0216X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program