Individual
MR. ALEKSANDR RUBINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8804 63RD DR APT 402, REGO PARK, NY 11374-3851
(917) 992-2940
Mailing address
8804 63RD DR APT 402, REGO PARK, NY 11374-3851
(917) 992-2940
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
1363021191
NY
252Y00000X
Early Intervention Provider Agency
Primary
1477280212
NY
Other
Enumeration date
03/13/2021
Last updated
03/24/2021
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