Healthcare Provider Details

I. General information

NPI: 1811987456
Provider Name (Legal Business Name): NEW YORK UNIVERSITY MEDICAL CENTER PATHOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 QUANTUM BLVD
BOYNTON BEACH FL
33426-8668
US

IV. Provider business mailing address

550 1ST AVE 10 U
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 877-648-2964
  • Fax: 929-455-9477
Mailing address:
  • Phone: 212-263-5687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW T. RUBIN
Title or Position: SR. ASST. DEAN OF CLINICAL AFFAIRS
Credential:
Phone: 212-263-2824