Individual
DR. ERIC ALLEN LUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 W BOSTON POST RD APT 3R, MAMARONECK, NY 10543
(914) 589-1592
Mailing address
680 W BOSTON POST RD APT 3R, MAMARONECK, NY 10543-3450
(914) 589-1592
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0313801
CT
2085R0202X
Diagnostic Radiology Physician
Primary
162663
NY
2085R0202X
Diagnostic Radiology Physician
25MA05569300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226719
—
NY
01
—
10504790
CAQH
NY
Enumeration date
06/12/2006
Last updated
07/31/2018
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