MEDICARE: WILLIAM RUBINE M.S., P.T.

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	174400000X	Specialist	0236021	NY

General Provider Information

NPI Number	:	1629043294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM RUBINE M.S., P.T.

Provider Business Mailing Address
First Line	:	119 W 23RD ST
Second Line	:	SUITE 804
City	:	NEW YORK
State	:	NY
Zip	:	10011-2427
Country	:	US
Telephone Number	:	212-691-4833
Fax Number	:	212-691-4532

Provider Business Practice Location Address
First Line	:	119 W 23RD ST
Second Line	:	SUITE 804
City	:	NEW YORK
State	:	NY
Zip	:	10011-2427
Country	:	US
Telephone Number	:	212-691-4833
Fax Number	:	212-691-4532

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/08/2007

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