| Doctor Name: | SHARON F RUBIN |
| NPI Number: | 1164667937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 25MP00193600 |
| Business Practice Address: | 663 Palisade Ave Suite 302 Cliffside Park, NJ - 070103012 |
| Business Phone Number: | 2019439100 |
| Business Fax Number: | 2019437308 |
| Mailing Address: | 111 Galway Pl, TEANECK |
| State: | NJ |
| Postal Code: | 076663606 |
| Phone Number: | 2018339500 |
| Fax Number: | 2018620095 |
| NPI Enumeration Date: | 12/09/2008 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00193600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |