Individual
MS. MARIA SUSAN RUBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
67 N COUNTRY RD, MILLER PLACE, NY 11764-1406
(631) 697-0497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308368
NY
Other
Enumeration date
10/24/2017
Last updated
03/17/2018
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