Healthcare Provider Details

I. General information

NPI: 1972022747
Provider Name (Legal Business Name): AINSWORTH HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 STEWART AVENUE SUITE 301
GARDEN CITY NY
11530
US

IV. Provider business mailing address

1103 STEWART AVENUE SUITE 301
GARDEN CITY NY
11530
US

V. Phone/Fax

Practice location:
  • Phone: 516-243-7775
  • Fax: 516-874-5766
Mailing address:
  • Phone: 516-243-7775
  • Fax: 516-874-5766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD RUBIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 516-359-7246