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Individual

BARNEY RUBENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1134 STATE ROUTE 29, GREENWICH MEDICAL CENTER, GREENWICH, NY 12834
(518) 692-9861
(518) 692-7947
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
162668
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
162668
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01083930
NY
01
P00010324
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
06/08/2021
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