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NPI Code Detail

MEDICARE: NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES

MEDICARE: NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES
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
1207ZC0500XCytopathology PhysicianNY
2207ZN0500XNeuropathology PhysicianNY
3207ZP0101XAnatomic Pathology PhysicianNY
4207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1811987456
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES
Provider Business Mailing Address
First Line : 550 1ST AVE
Second Line : 10 U
City : NEW YORK
State : NY
Zip : 10016-6402
Country : US
Telephone Number : 212-263-5687
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 : 929-455-9477
Authorized Official
Title or Position : SR. ASST. DEAN OF CLINICAL AFFAIRS
Name : ANDREW T. RUBIN
Credential :
Telephone Number : 212-263-2824
Provider Enumeration Date : 10/25/2005
Last Update Date : 03/20/2025

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