Healthcare Provider Details

I. General information

NPI: 1033026620
Provider Name (Legal Business Name): NEW YORK UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 QUANTUM BLVD FL 1
BOYNTON BEACH FL
33426-8670
US

IV. Provider business mailing address

7593 BOYNTON BEACH BLVD
BOYNTON BEACH FL
33437-6154
US

V. Phone/Fax

Practice location:
  • Phone: 877-648-2964
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW RUBIN
Title or Position: SR VP FOR CLINICAL AFFAIRS
Credential:
Phone: 212-263-2672