MEDICARE: NEW YORK UNIVERSITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1124078373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK UNIVERSITY

Provider Business Mailing Address
First Line	:	303 2ND AVE
Second Line	:	SUITE 21
City	:	NEW YORK
State	:	NY
Zip	:	10003-2739
Country	:	US
Telephone Number	:	212-598-6573
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 2ND AVE
Second Line	:	SUITE 21
City	:	NEW YORK
State	:	NY
Zip	:	10003-2739
Country	:	US
Telephone Number	:	212-598-6573
Fax Number	:

Authorized Official
Title or Position	:	SR. ASST. DEAN FOR CLINICAL AFFAIRS
Name	:	ANDREW T. RUBIN
Credential	:
Telephone Number	:	212-263-2824

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	06/19/2008

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Directions to “NEW YORK UNIVERSITY ” Practice Location

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