Individual
ANDRES I RUBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-0604
(607) 324-8293
Mailing address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-0604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
196988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01552987
—
NY
Enumeration date
05/25/2006
Last updated
06/29/2023
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