Individual
GERRY RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 751-3000
(631) 675-2001
Mailing address
1500 ROUTE 112 BLDG 4, SUITE101, PORT JEFFERSON STATION, NY 11776-3456
(631) 574-8354
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
177178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02023150
—
NY
Enumeration date
02/10/2006
Last updated
08/06/2019
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