Individual
JOHN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8100
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4271
(607) 337-4049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220750-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150223
—
NY
Enumeration date
06/07/2006
Last updated
04/16/2018
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