Organization Name: | DR FREDERICK LUBELL, DPM |
NPI Number: | 1043497837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK LUBELL (OWNER) |
Mailing Address: | 2428 Merrick Rd Bellmore |
State: | NY US |
Postal Code: | 117105704 |
Phone Number: | 5168266040 |
Fax Number: | 5168265821 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 01/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |