Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 094455-1 | NY |
NPI | 1265591879 |
---|---|
Provider Name | Dr. Harry R Lubell |
First Address | Tarrytown, NY 10591-5535 |
Second Address | Tarrytown, NY 10591-5535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 27/06/2012 |