Healthcare Provider Details

I. General information

NPI: 1730001827
Provider Name (Legal Business Name): JENNIFER ROSE RUBINSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 PARK AVE STE 125
NEW YORK NY
10017-3140
US

IV. Provider business mailing address

237 PARK AVE STE 125
NEW YORK NY
10017-3140
US

V. Phone/Fax

Practice location:
  • Phone: 917-694-8619
  • Fax:
Mailing address:
  • Phone: 917-694-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number360631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: