Individual
DR. JEFFREY S RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
265 MAIN ST, NORTHPORT, NY 11768-1730
(631) 754-1107
Mailing address
265 MAIN ST, NORTHPORT, NY 11768-1730
(631) 754-1107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034832
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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