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Lawrence Alfred Rubin, RPA-C

Physician Assistant in Southampton, NY. Individual provider (NPI-1).

NPI number1467572917
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1467572917
Entity type
Individual (NPI-1)
Name
Mr. Lawrence Alfred Rubin
Credential
RPA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2007
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant003216NYYes

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Phone 631-726-8420

Mailing address

1805 Jockey Creek Dr
Southold, NY 11971-1707

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