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Individual

DR. STUART RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(716) 631-1249
Mailing address
55 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7800
(716) 631-2500
(716) 631-1249

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1756431
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040823405
UNIVERA
NY
01
000525479007
BCBS
NY
01
0005889
GHI
NY
05
01357895
NY
01
040426002390
FIDELIS
NY
01
1691003
IHA
NY
01
300117811
RRMCR
NY
Enumeration date
06/13/2006
Last updated
01/16/2013
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