Healthcare Provider Details

I. General information

NPI: 1275883571
Provider Name (Legal Business Name): ALLISON NICOLE RUBIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

IV. Provider business mailing address

32-25 FRANCIS LEWIS BLVD.
NEW YORK NY
11358
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-7532
  • Fax:
Mailing address:
  • Phone: 718-428-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number56272
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number284136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: