Individual
BRIAN G DE RUBERTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST # F835-A, NEW YORK, NY 10065-4870
(646) 962-8450
(646) 962-0323
Mailing address
525 E 68TH ST # 197, NEW YORK, NY 10065-4870
(646) 962-8450
(646) 962-0323
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
21807301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558553313
—
NY
Enumeration date
08/15/2007
Last updated
04/09/2024
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