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Organization

JACK M. RUBENSTEIN, MD

Active
Other names
Center for Diagnostic Consultation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK MYRON RUBENSTEIN MD (OWNER)
(516) 256-6649
Entity
Organization

Contact information

Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6649
(516) 256-6653
Mailing address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6649
(516) 256-6653

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
C2393891
NY
Enumeration date
02/06/2007
Last updated
07/10/2008
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