Individual
SOFYA M RUBINCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
(505) 291-5301
Mailing address
1325 WYOMING BLVD NE, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
(505) 291-5365
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2004-0320
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
07/05/2006
Last updated
09/03/2013
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