Healthcare Provider Details

I. General information

NPI: 1821092800
Provider Name (Legal Business Name): MARC G RUBINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 MAMARONECK AVE STE 401
HARRISON NY
10528-2400
US

IV. Provider business mailing address

450 MAMARONECK AVE STE 401
HARRISON NY
10528-2400
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-9200
  • Fax:
Mailing address:
  • Phone: 914-949-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number160826
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: