Individual
KATHERINE REINERTSEN-RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7 OLEANDER DR, NORTHPORT, NY 11768-3438
(631) 235-3575
Mailing address
353 VETERANS MEMORIAL HWY, SUITE 303, COMMACK, NY 11725-4200
(631) 864-3900
(631) 864-2954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
304275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02976396
—
NY
Enumeration date
06/26/2006
Last updated
03/14/2013
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