Individual
ELENA LUBIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 LAKEVIEW AVE, SCARSDALE, NY 10583-5156
(914) 434-4412
Mailing address
158 LAKEVIEW AVE, SCARSDALE, NY 10583-5156
(914) 434-4412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340497
NY
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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