MEDICARE: SEBASTIAN RUBINO

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	207T00000X	Neurological Surgery Physician	315351	NY

General Provider Information

NPI Number	:	1619397825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEBASTIAN RUBINO

Provider Business Mailing Address
First Line	:	257 LAFAYETTE AVE
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4830
Country	:	US
Telephone Number	:	914-493-2363
Fax Number	:

Provider Business Practice Location Address
First Line	:	257 LAFAYETTE AVE
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4830
Country	:	US
Telephone Number	:	914-493-2363
Fax Number	:

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

Provider Enumeration Date	:	04/27/2014
Last Update Date	:	04/08/2026

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Directions to “ SEBASTIAN RUBINO ” Practice Location

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