Doctor Name: | DR. VALENTIN LYUBARSKY |
NPI Number: | 1760648687 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 161918 |
Business Practice Address: | 4500 Furman Ave Bronx, NY - 104701602 |
Business Phone Number: | 7183255021 |
Business Fax Number: | 7183248609 |
Mailing Address: | 4500 Furman Ave, BRONX |
State: | NY |
Postal Code: | 104701602 |
Phone Number: | 7183255021 |
Fax Number: | 7183248609 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 07/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 161918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |