MEDICARE: RUBEN DYBNER MD PAUL AARONSON 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	208800000X	Urology Physician

General Provider Information

NPI Number	:	1891901815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUBEN DYBNER MD PAUL AARONSON MD

Provider Business Mailing Address
First Line	:	10923 71ST RD
Second Line	:	BASEMENT
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4849
Country	:	US
Telephone Number	:	718-544-5670
Fax Number	:	718-520-7105

Provider Business Practice Location Address
First Line	:	10923 71ST RD
Second Line	:	BASEMENT
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4849
Country	:	US
Telephone Number	:	718-544-5670
Fax Number	:	718-520-7105

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NORMA MATHEW
Credential	:
Telephone Number	:	718-544-5670

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	08/22/2020

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