MEDICARE: RUBINSHTEYN MEDICAL PC

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	207Q00000X	Family Medicine Physician	209293	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528082039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUBINSHTEYN MEDICAL PC

Provider Business Mailing Address
First Line	:	9713 64TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2274
Country	:	US
Telephone Number	:	718-968-3420
Fax Number	:	718-896-4095

Provider Business Practice Location Address
First Line	:	9713 64TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2274
Country	:	US
Telephone Number	:	718-968-3420
Fax Number	:	718-896-4095

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YANINA RUBINSHTEYN
Credential	:	MD
Telephone Number	:	718-968-3420

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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