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MR. NICHOLAS DAMIAN LUBRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
14 BARROW PL, STATEN ISLAND, NY 10309-1780

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018449-1
NY

Other

Enumeration date
09/21/2015
Last updated
09/21/2015
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