Individual
DR. BARRY RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 BELLE TERRE RD STE 209B, PORT JEFFERSON, NY 11777-1935
(631) 246-9501
(631) 246-9570
Mailing address
46 ROUTE 25A, SUTIE 4, SETAUKET, NY 11733-2820
(631) 246-9501
(631) 246-9570
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
169794-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10173
ANTHEM #
NY
01
—
10514507
CAQH
NY
01
—
1078638000
DEPT OF LABOR
NY
01
—
205383
HIP
NY
01
—
250010334
RAILROAD MEDICARE
NY
01
—
27313
MASTER CARE
NY
01
—
4330561
AETNA PIN #
NY
01
—
76235
VYTRA PROVIDER #
NY
01
—
911050
PHS
NY
01
—
CIGNA
43165004
NY
01
—
P-34032414
MULTIPLAN
NY
01
—
P383718
OXFORD PROVIDER#
NY
Enumeration date
10/19/2006
Last updated
02/11/2022
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