Provider Demographics
NPI:1528067766
Name:RUBINSTEIN, STEVE D (OD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:D
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-4109
Mailing Address - Country:US
Mailing Address - Phone:914-835-6990
Mailing Address - Fax:914-202-0917
Practice Address - Street 1:910 E BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-4109
Practice Address - Country:US
Practice Address - Phone:914-835-6990
Practice Address - Fax:914-202-0917
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYV005024152WC0802X, 152WL0500X
NY005024152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV005024OtherNYS LICENSE
NY01734050Medicaid
NY01734050Medicaid
NYA300000338Medicare PIN
NYV005024OtherNYS LICENSE