De Rubertis, Brian G

De Rubertis, Brian G is an individual health care provider with primary practice located at 525 E 68Th St # F835-A , New York NY 10065-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. De Rubertis, Brian G can be contacted via phone (646) 962-8450.

Contact Information

Primary practice address
525 E 68Th St # F835-A New York NY 10065-4870
Fax: (646) 962-0323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 21807301 New York

Profile Details

NPI number 1558553313
LBN Legal business name De Rubertis, Brian G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Apr 9th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558553313 NPPES
New York MEDICAID 1558553313

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