Individual
DR. ROBERTA GAIL RUBIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 EXECUTIVE BLVD, SUFFERN, NY 10901-4173
(845) 368-7403
(846) 369-7082
Mailing address
10 WOODLAND AVE, GLEN RIDGE, NJ 07028-1215
(973) 429-2515
(973) 429-2544
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
83996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326003
—
NJ
Enumeration date
11/04/2005
Last updated
07/08/2007
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