Organization
WOUND PHYSICIAN SURGEON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR RUBINSHTEYN (MD)
(917) 952-3824
Entity
Organization
Contact information
Practice address
11 RALPH PL, STATEN ISLAND, NY 10304-4401
(917) 952-3824
Mailing address
79 LONGFELLOW AVE, STATEN ISLAND, NY 10301-4615
(917) 952-3824
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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