Individual provider · Type 1 NPI

Nicholas Damian Lubrano

Surgical Physician Assistant · Staten Island, NY

NPI number 1184093056 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Mailing address

14 Barrow Pl
Staten Island, NY 10309-1780

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X018449-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1184093056

Nicholas Damian Lubrano's National Provider Identifier is 1184093056, issued on Sep 21, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Sep 21, 2015.