Organization Name: | STEVEN RUBIN |
NPI Number: | 1730357989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN MICHAEL RUBIN (OWNER) |
Mailing Address: | 707 Bristol Pike Croydon |
State: | PA US |
Postal Code: | 190215412 |
Phone Number: | 2157810622 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |