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Individual

JERRY A LUBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3 E 68TH ST, NEW YORK, NY 10021-4903
(212) 628-9200
(212) 472-7253
Mailing address
9 AVALON RD, GREAT NECK, NY 11021-3901
(516) 466-1090
(212) 472-7253

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
006685
NY

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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