Individual
NATHAN D WRUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2184 STEINWAY ST, ASTORIA, NY 11105
(718) 726-9600
(718) 726-0808
Mailing address
2184 STEINWAY ST, ASTORIA, NY 11105
(718) 726-9600
(718) 726-0808
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
132532
NY
2085U0001X
Diagnostic Ultrasound Physician
132532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00574098
—
NY
Enumeration date
02/02/2006
Last updated
08/08/2008
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