Christopher Hart Rubino, RT (R), PA-C
Physician Assistant, Surgical in Port Jefferson, NY. Individual provider (NPI-1).
NPI number1871069484
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1871069484
- Entity type
- Individual (NPI-1)
- Name
- Christopher Hart Rubino
- Credential
- RT (R), PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2018
- Last updated
- Nov 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 022771-1 | NY | Yes |
Practice location
200 Belle Terre Rd # 474-6000Port Jefferson, NY 11777-1968
Phone 631-474-6000
Mailing address
40 Scudder Ave # 2eNorthport, NY 11768-2915
Phone 631-987-0175
Other practice locations
50 New York Ave
Smithtown, NY 11787-3448
Smithtown, NY 11787-3448
Phone 631-862-3000
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