MEDICARE: CHERYL J RUBIN MD

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	160306	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200021081	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	570F23	OTHER	NY	EMPIRE BCBS (AIRMONT)
3	603433	OTHER	NY	MVP (AIRMONT/STONY POINT)
4	0038267	OTHER	NY	GHI PPO
5	0455138	OTHER	NY	AETNA HMO
6	570F22	OTHER	NY	EMPIRE BCBS (MONROE)
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0D5327	OTHER	NY	HEALTHNET
9	391638	OTHER	NY	MVP (MONROE)
10	4667162	OTHER	NY	AETNA PPO
11	570F21	OTHER	NY	EMPIRE BCBS (MONROE)

General Provider Information

NPI Number	:	1235121112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL J RUBIN MD

Provider Business Mailing Address
First Line	:	507 AIRPORT EXECUTIVE PARK
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-5238
Country	:	US
Telephone Number	:	845-262-5313
Fax Number	:	845-262-5330

Provider Business Practice Location Address
First Line	:	327 ROUTE 59
Second Line	:
City	:	AIRMONT
State	:	NY
Zip	:	10952
Country	:	US
Telephone Number	:	845-356-2900
Fax Number	:	845-356-7797

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	12/30/2015

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Directions to “ CHERYL J RUBIN MD” Practice Location

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