Dr. Luba Alexandra Roytburd, Ph.D.
Psychologist in Forest Hills, NY. Individual provider (NPI-1).
NPI number1730232000
StatusActive
Last updated in NPPESFeb 24, 2012
Details
- NPI
- 1730232000
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luba Alexandra Roytburd
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2007
- Last updated
- Feb 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 016984-1 | NY | Yes |
Practice location
11241 Queens BlvdSuite 100
Forest Hills, NY 11375-7475
Phone 646-706-7781 · Fax 646-706-7781
Mailing address
730 Saint Nicholas AveNew York, NY 10031-4002
Phone 646-706-7781 · Fax 646-706-7781
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