MEDICARE: DMITRIY RUBENOV PHARM.D

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	183500000X	Pharmacist	055780	NY

General Provider Information

NPI Number	:	1205114881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DMITRIY RUBENOV PHARM.D

Provider Business Mailing Address
First Line	:	9525 QUEENS BLVD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9525 QUEENS BLVD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4510
Country	:	US
Telephone Number	:	718-896-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/29/2011

Similar Medicare Providers

1790340800 — NOAH BECHER DO
Practice Location Address:

9525 QUEENS BLVD
REGO PARK, NY
11374-4510

Practice Phone: 718-975-2415
Practice Fax:

1750381174 — SANTHA KAMINENI M.D
Practice Location Address:

9525 QUEENS BLVD STE 2A
REGO PARK, NY
11374-4510

Practice Phone: 718-275-2672
Practice Fax: 718-275-2673

1891724209 — SIRA ZENTNER MS, OTR/L
Practice Location Address:

9525 QUEENS BLVD
REGO PARK, NY
11374-4510

Practice Phone: 917-209-3056
Practice Fax:

1760584775 — DR. MIGUEL A CINTRON MD
Practice Location Address:

9525 QUEENS BLVD STE 2A
REGO PARK, NY
11374-4510

Practice Phone: 718-335-0628
Practice Fax: 718-335-6957

1750440145 — MS. DEBRA BESNER N.P.
Practice Location Address:

9525 QUEENS BLVD
REGO PARK, NY
11374-4510

Practice Phone: 718-925-6294
Practice Fax: 718-925-6203

1144488248 — JESSICA M FOLEK MD
Practice Location Address:

9525 QUEENS BLVD
REGO PARK, NY
11374-4510

Practice Phone: 718-575-9595
Practice Fax:

Directions to “ DMITRIY RUBENOV PHARM.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.