Individual
LUBOMIR M KANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 N PARK AVE, SUITE 400, ROCKVILLE CENTRE, NY 11570-4113
(516) 764-5574
(516) 594-4053
Mailing address
119 N PARK AVE, SUITE 400, ROCKVILLE CENTRE, NY 11570-4113
(516) 764-5574
(516) 594-4053
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256808
—
NY
Enumeration date
02/04/2006
Last updated
11/10/2011
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