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NPI Code Detail

MEDICARE: MICHAEL REUVAN RUBIN

MEDICARE: MICHAEL REUVAN RUBIN
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
12084P0800XPsychiatry Physician327201NY

General Provider Information

NPI Number : 1629606140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL REUVAN RUBIN
Provider Business Mailing Address
First Line : 60 WINSLOW RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-3713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-430-2290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 01/20/2026

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Directions to “ MICHAEL REUVAN RUBIN ” Practice Location

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