MEDICARE: IGOR RUBINSHTEYN MD 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	207X00000X	Orthopaedic Surgery Physician	239286	NY

General Provider Information

NPI Number	:	1962668814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGOR RUBINSHTEYN MD PC

Provider Business Mailing Address
First Line	:	9713 64TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2274
Country	:	US
Telephone Number	:	718-896-4090
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	:	718-896-4090
Fax Number	:	718-896-4095

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. IGOR RUBINSHTEYN
Credential	:	M.D.
Telephone Number	:	718-896-4090

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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