Individual
TIMOFEY RUBANYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
(844) 364-6375
Mailing address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
041386
NY
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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