Individual
RUBIN MAN PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WILLOW AVE, ITHACA, NY 14850-3215
(607) 219-4600
Mailing address
720 WILLOW AVE, ITHACA, NY 14850-3215
(607) 219-4600
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
320934
NY
Other
Enumeration date
08/22/2016
Last updated
01/29/2025
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