Individual
DR. GENE JONATHAN LUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
99 UNIVERSITY PL, 4TH FLOOR, NEW YORK, NY 10003-4528
(212) 677-1871
Mailing address
11 5TH AVE, NEW YORK, NY 10003-4342
(212) 533-1135
(212) 533-3826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
014178
NY
103TC0700X
Clinical Psychologist
Primary
014178
NY
103TP0814X
Psychoanalysis Psychologist
014178
NY
103TS0200X
School Psychologist
014178
NY
Other
Enumeration date
02/09/2007
Last updated
03/13/2008
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