Individual
DAVID M RUBALTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
356 PRESIDENT STREET, SUITE B, BROOKLYN, NY 11215
(718) 438-5600
Mailing address
356 PRESIDENT STREET, SUITE B, BROOKLYN, NY 11215
(718) 438-5600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
261272
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100264920301
AMERICHOICE
NY
Enumeration date
05/01/2006
Last updated
01/18/2012
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