Doctor Name: | DR. EUGENE P LUBLINER |
NPI Number: | 1245467216 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 1134904 |
Business Practice Address: | 565 Route 25a Suite 201 Miller Place, NY - 117642663 |
Business Phone Number: | 6318217214 |
Business Fax Number: | 6313892552 |
Mailing Address: | 565 Route 25a, Suite 201 MILLER PLACE |
State: | NY |
Postal Code: | 117642663 |
Phone Number: | 6318217214 |
Fax Number: | 6313892552 |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 1134904 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |