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Organization
NEW YORK UNIVERSITY
Active
Organization
NEW YORK UNIVERSITY
Active
Parent organization
NEW YORK UNIVERSITY
Other names
NYU Great Neck Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK UNIVERSITY
Authorized official
ANDREW T RUBIN (SR ASS DEAN FOR CLINICAL AFFAIRS)
(212) 263-2824
Entity
Organization
Contact information
Practice address
488 GREAT NECK RD, SUITE 300, GREAT NECK, NY 11021-4315
(516) 482-6747
(516) 482-4851
Mailing address
488 GREAT NECK RD, SUITE 300, GREAT NECK, NY 11021-4315
(516) 482-6747
(516) 482-4851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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