Individual
MR. MITCHELL RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2365 BOSTON POST RD, LARCHMONT, NY 10538-3500
(914) 834-0111
(914) 834-0259
Mailing address
2365 BOSTON POST RD, LARCHMONT, NY 10538-3500
(914) 834-0111
(914) 834-0259
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
04132
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
04132
NY
213ER0200X
Radiology Podiatrist
04132
NY
213ES0000X
Sports Medicine Podiatrist
04132
NY
213ES0131X
Foot Surgery Podiatrist
04132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048654
GHI
NY
05
—
0098513-2
—
NY
01
—
058-2761
AETNA GOLDEN MEDICARE
NY
01
—
0582761
AETNA US HEALTHCARE
NY
01
—
1C1595
PHS
NY
01
—
37050
GHI HMO
NY
01
—
582-761
US HEALTH
NY
01
—
P4359
BLUE CHOICE
NY
01
—
RS048
OXFORD
NY
Enumeration date
10/24/2005
Last updated
11/18/2010
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