Individual
MRS. MICHELE PAULA LUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(631) 265-7000
Mailing address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(631) 265-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727149
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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