Individual
HAL IRA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 HAMMOND LN, SUITE A, PLATTSBURGH, NY 12901-2003
(518) 561-0063
(518) 561-0947
Mailing address
11 HAMMOND LN, SUITE A, PLATTSBURGH, NY 12901-2003
(518) 561-0063
(518) 561-0947
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
183085-1
NY
2084P0805X
Geriatric Psychiatry Physician
183085-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405146001
BSNE NY
—
05
—
01201216
—
NY
01
—
137057
VALUE OPTIONS
NY
01
—
209117
MVP
NY
01
—
8101940
GHI
—
Enumeration date
07/28/2005
Last updated
07/01/2010
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