Individual
DR. LUBBNA V ALIMOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 TROY SCHENECTADY RD, SUITE 101, LATHAM, NY 12110-2442
(518) 783-3110
(518) 783-7506
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101252290
VA
208000000X
Pediatrics Physician
Primary
255012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
05
—
03154230
—
NY
01
—
C06193
GROUP PTAN
VA
Enumeration date
07/22/2008
Last updated
02/17/2015
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