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Elena Lubimov

Nurse Practitioner, Family in Scarsdale, NY. Individual provider (NPI-1).

NPI number1104287796
StatusActive
Last updated in NPPESMar 10, 2016

Details

NPI
1104287796
Entity type
Individual (NPI-1)
Name
Elena Lubimov
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 10, 2016
Last updated
Mar 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF340497NYYes

Practice location

158 Lakeview Ave
Scarsdale, NY 10583-5156

Phone 914-434-4412

Mailing address

158 Lakeview Ave
Scarsdale, NY 10583-5156

Phone 914-434-4412

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