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Organization
NEW YORK UNIVERSITY
Active
Organization
NEW YORK UNIVERSITY
Active
Other names
NYU Langone Children's Ambulatory Care Center - Mineola
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T. RUBIN (SR. VP CLINICAL AFFAIRS, AMB CARE)
(212) 263-2672
Entity
Organization
Contact information
Practice address
3301 QUANTUM BLVD, BOYNTON BEACH, FL 33426-8668
(877) 648-2964
Mailing address
120 MINEOLA BLVD STE 210, MINEOLA, NY 11501-4077
(516) 663-4600
(516) 663-3008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/01/2022
Last updated
09/27/2024
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