Individual
DR. ALAN SCOTT LUBITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 S BROADWAY, HICKSVILLE, NY 11801-5027
(516) 937-2237
(516) 822-4167
Mailing address
560 S BROADWAY, HICKSVILLE, NY 11801-5027
(516) 933-2800
(516) 933-2809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
140032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00894624
—
NY
01
—
10508889
CAQH
NY
Enumeration date
06/02/2006
Last updated
06/11/2010
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