Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 270456 | NY |
Y | 208200000X | Surgeon | 270456 | NY |
Y | 208600000X | Surgeon | 270456 | NY |
NPI | 1306124367 |
---|---|
Provider Name | Nir Lubezky |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2011 |
Last Update Date | 10/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03375922 | (05) | NY |