Individual
DR. ELISSA HOPE RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 JERICHO TPKE, SUITE 175, MINEOLA, NY 11501-2984
(516) 216-5910
(516) 216-5907
Mailing address
PO BOX 1720, MINEOLA, NY 11501-0902
(516) 216-5910
(516) 216-5907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02909520
—
NY
Enumeration date
10/31/2006
Last updated
04/23/2009
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