Individual
DR. AVIVA LUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7672
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
258489
NY
2084N0400X
Neurology Physician
390200000X
NY
2084V0102X
Vascular Neurology Physician
258489
NY
Other
Enumeration date
06/13/2008
Last updated
11/09/2020
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