Organization
RUBIO PHYSICIAN ASSISTANT PC
Active
Other names
Badass Skin
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUBIO PA-C (CEO)
(646) 493-9548
Entity
Organization
Contact information
Practice address
607 HALSEY ST APT 2, BROOKLYN, NY 11233-1201
(646) 493-9548
Mailing address
607 HALSEY ST APT 2, BROOKLYN, NY 11233-1201
(646) 493-9548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554076
—
NY
Enumeration date
02/02/2023
Last updated
02/02/2023
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