Individual
DR. JEFFREY LOUIS LUBIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
136 WOODBURY RD, WOODBURY, NY 11797-1411
(516) 692-5660
(516) 692-5664
Mailing address
136 WOODBURY RD, WOODBURY, NY 11797-1411
(516) 692-5660
(516) 692-5664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00388885
—
NY
Enumeration date
08/31/2005
Last updated
07/08/2007
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