Healthcare Provider Details

I. General information

NPI: 1528067766
Provider Name (Legal Business Name): STEVE D RUBINSTEIN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E BOSTON POST RD
MAMARONECK NY
10543-4109
US

IV. Provider business mailing address

910 E BOSTON POST RD
MAMARONECK NY
10543-4109
US

V. Phone/Fax

Practice location:
  • Phone: 914-835-6990
  • Fax: 914-202-0917
Mailing address:
  • Phone: 914-835-6990
  • Fax: 914-202-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberV005024
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberV005024
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number005024
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: