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NPI Code Detail

MEDICARE: DR. NORMAN MITCHELL RUBIN DDS

MEDICARE: DR. NORMAN MITCHELL RUBIN DDS
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
1122300000XDentist047835-1NY

General Provider Information

NPI Number : 1538322680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMAN MITCHELL RUBIN DDS
Provider Business Mailing Address
First Line : 23 ROUTE 111
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-3739
Country : US
Telephone Number : 631-724-3399
Fax Number : 631-724-4676
Provider Business Practice Location Address
First Line : 23 ROUTE 111
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-3739
Country : US
Telephone Number : 631-724-3399
Fax Number : 631-724-4676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 05/23/2014

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