Individual
MS. BAILA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
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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