Individual
LIBBY KEEN BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
81 W 115TH ST, NEW YORK, NY 10026-3138
(212) 426-0088
(212) 426-8367
Mailing address
1824 MADISON AVE FL 5, NEW YORK, NY 10035-3832
(212) 423-4500
(646) 770-8409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
302950
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
11/22/2023
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