# FAR ROCKAWAY ORTHODONTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538539705
- **Authorized official:** DR. ROBERT RUBIN DDS (PRESIDENT)
- **Authorized official phone:** (718) 868-1497

## Contact information

- **Practice address:** 833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
- **Practice address phone:** (718) 868-1497
- **Practice address fax:** (718) 868-2600
- **Mailing address:** 833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
- **Mailing address phone:** (718) 868-1497
- **Mailing address fax:** (718) 868-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 38848-1 | NY | Yes |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 09/30/2015