Individual
ROBERT SAMUEL NUBA
Active
Individual
ROBERT SAMUEL NUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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