MEDICARE: MR. NOAH RUBINSTEIN L.AC.

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	171100000X	Acupuncturist	1105-1	NY

General Provider Information

NPI Number	:	1881735488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NOAH RUBINSTEIN L.AC.

Provider Business Mailing Address
First Line	:	106 ANGEL HILL RD
Second Line	:
City	:	CHATHAM
State	:	NY
Zip	:	12037-2704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 W 27TH ST
Second Line	:	9TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10001-6903
Country	:	US
Telephone Number	:	212-675-9355
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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