Individual
ROBERT SAMUEL NUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1385 BROADWAY, SUITE A31, HEWLETT, NY 11557-1364
(516) 400-9015
(516) 400-9015
Mailing address
1385 BROADWAY, A31, HEWLETT, NY 11557-1364
(516) 400-9015
(516) 400-9015
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
130068
NY
208D00000X
General Practice Physician
130068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00593260
—
NY
01
—
49A071
MEDICARE ID
NY
Enumeration date
05/18/2006
Last updated
05/04/2015
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