Organization
FAR ROCKAWAY ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RUBIN DDS (PRESIDENT)
(718) 868-1497
Entity
Organization
Contact information
Practice address
833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
(718) 868-1497
(718) 868-2600
Mailing address
833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
(718) 868-1497
(718) 868-2600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38848-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067647
—
NY
Enumeration date
09/30/2015
Last updated
09/30/2015
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