Organization
ERIC A LUBIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ALAN LUBIN MD (MEDICAL DIRECTOR)
(646) 791-2105
Entity
Organization
Contact information
Practice address
315 MADISON AVE, SUITE 702, NEW YORK, NY 10017-5405
(646) 791-2105
(646) 791-2103
Mailing address
315 MADISON AVE, SUITE 702, NEW YORK, NY 10017-5405
(646) 791-2105
(646) 791-2103
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
162663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226719
—
NY
Enumeration date
06/18/2014
Last updated
06/18/2014
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