MEDICARE: DR. KAREN LEE RUBINOW D.C., FIACA

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	111N00000X	Chiropractor	309	CT

General Provider Information

NPI Number	:	1245320050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LEE RUBINOW D.C., FIACA

Provider Business Mailing Address
First Line	:	1059 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2112
Country	:	US
Telephone Number	:	860-521-2480
Fax Number	:	860-521-7679

Provider Business Practice Location Address
First Line	:	1059 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2112
Country	:	US
Telephone Number	:	860-521-2480
Fax Number	:	860-521-7679

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/08/2007

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