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NPI Code Detail

MEDICARE: NEW YORK UNIVERSITY

MEDICARE: NEW YORK UNIVERSITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist

General Provider Information

NPI Number : 1053836908
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK UNIVERSITY
Provider Business Mailing Address
First Line : 101 W 79TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-6474
Country : US
Telephone Number : 212-874-3578
Fax Number :
Provider Business Practice Location Address
First Line : 3301 QUANTUM BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8668
Country : US
Telephone Number : 877-648-2964
Fax Number :
Authorized Official
Title or Position : VP, CLINICAL AFFAIRS AND AMB. CARE
Name : ANDREW T RUBIN
Credential :
Telephone Number : 212-263-2672
Provider Enumeration Date : 08/11/2017
Last Update Date : 09/27/2024

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Directions to “NEW YORK UNIVERSITY ” Practice Location

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