Healthcare Provider Details
I. General information
NPI: 1871738476
Provider Name (Legal Business Name): HENRY M RUBINSTEIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/10/2008
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18241 NE 7TH CT
NORTH MIAMI BEACH FL
33162-1159
US
IV. Provider business mailing address
18241 NE 7TH CT
NORTH MIAMI BEACH FL
33162-1159
US
V. Phone/Fax
- Phone: 305-653-4744
- Fax: 305-493-7636
- Phone: 305-653-4744
- Fax: 305-493-7636
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 4395 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: