Doctor Name: | MIGDALIA LUBIN |
NPI Number: | 1023223401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 562 Wyoming Ave Kingston, PA - 187043721 |
Business Phone Number: | 5705523700 |
Business Fax Number: | 5705523705 |
Mailing Address: | 301 Blueberry Hill Rd, SHAVERTOWN |
State: | PA |
Postal Code: | 187089514 |
Phone Number: | 5706964683 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |