Individual
DR. JONATHON AARON RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 STEWART AVE, GARDEN CITY, NY 11530-4721
(516) 663-1220
Mailing address
700 STEWART AVE, GARDEN CITY, NY 11530-4721
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
231751
NY
208600000X
Surgery Physician
4301091453
MI
2086S0102X
Surgical Critical Care Physician
231751
NY
2086S0129X
Vascular Surgery Physician
046504
CT
2086S0129X
Vascular Surgery Physician
Primary
231751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02818091
—
NY
Enumeration date
10/03/2006
Last updated
04/14/2022
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