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Individual

DAVID RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL, SUFFERN, NY 10901-4812
(845) 368-5179
(201) 661-7297
Mailing address
535 E CRESCENT AVE, C/O HISTOPATHOLOGY SERVICES, LLC, RAMSEY, NJ 07446-2922
(201) 661-7280
(201) 661-7297

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
206748
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0038512
NJ
01
220033369
RAILROAD MEDICARE
NY
Enumeration date
06/16/2006
Last updated
04/22/2013
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