Individual
JOSE MANUEL RUBIO LORENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-4125
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
286805
NY
Other
Enumeration date
04/25/2013
Last updated
07/18/2017
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