Individual
MS. BAILA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
3321 AVENUE M, BROOKLYN, NY 11210-5421
(718) 531-1800
(718) 407-2648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
TAXONOMY CODE
NY
Enumeration date
06/20/2012
Last updated
01/28/2020
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