Organization
HEMATOLOGY ASC MT SINAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LUBIN MD (PARTNER)
(440) 442-4260
Entity
Organization
Contact information
Practice address
730 SOM CENTER RD, SUITE 305, CLEVELAND, OH 44143-2350
(440) 442-4260
(702) 255-7699
Mailing address
PO BOX 24908, MAYFIELD HTS, OH 44124-0908
(440) 442-4260
(702) 255-7699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35026657L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391839
—
OH
01
—
CD3403
RAILROAD MEDICARE
OH
Enumeration date
09/21/2006
Last updated
11/21/2007
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