Healthcare Provider Details

I. General information

NPI: 1831255777
Provider Name (Legal Business Name): ARYE RUBINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MONTEFIORE MEDICAL GROUP CFCC 1525 BLONDELL AVENUE
BRONX NY
10461
US

IV. Provider business mailing address

25 ASTOR PL
MONSEY NY
10952-1012
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-8530
  • Fax:
Mailing address:
  • Phone: 718-405-8530
  • Fax: 718-405-8532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number123252
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: