MEDICARE: JANET A RUBINSTEIN MD

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
1	207V00000X	Obstetrics & Gynecology Physician	138608	NY

General Provider Information

NPI Number	:	1396742862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET A RUBINSTEIN MD

Provider Business Mailing Address
First Line	:	4506 12TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2001
Country	:	US
Telephone Number	:	718-633-3131
Fax Number	:	718-633-5843

Provider Business Practice Location Address
First Line	:	4506 12TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2001
Country	:	US
Telephone Number	:	718-633-3131
Fax Number	:	718-633-5843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/14/2007

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