Individual
KENNETH LUBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 23RD ST, NEW YORK, NY 10011-1404
(212) 807-8155
Mailing address
405 W 23RD ST, NEW YORK, NY 10011-1404
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00406148
—
NY
Enumeration date
01/26/2006
Last updated
11/11/2010
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