Individual
AMY L RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
123 BROAD ST, HAWTHORNE, NY 10532-1716
(914) 747-0654
Mailing address
123 BROAD ST, HAWTHORNE, NY 10532-1716
(914) 747-0654
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1294831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534318
—
NY
Enumeration date
11/17/2006
Last updated
07/09/2007
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