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Organization
NEW YORK UNIVERSITY
Active
Organization
NEW YORK UNIVERSITY
Active
Other names
NYU Langone Medical Associates - Bellport
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RUBIN (SR VP OF CLINICAL AFFAIRS)
(212) 263-2672
Entity
Organization
Contact information
Practice address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 288-7120
Mailing address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 288-7120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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