# ADVANCE OB GYN CARE PLLC

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

## Provider details

- **NPI number:** 1710204235
- **Authorized official:** SHERMAN RUBIN M.D. (PRESIDENT)
- **Authorized official phone:** (718) 396-3241

## Contact information

- **Practice address:** 9207 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7941
- **Practice address phone:** (718) 396-3241
- **Practice address fax:** (718) 396-3173
- **Mailing address:** PO BOX 5206, ASTORIA, NY 11105-5206
- **Mailing address phone:** (718) 725-7203
- **Mailing address fax:** (615) 634-5504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010