Individual provider · Type 1 NPI
Gabrielle Lubin
Pediatric Nurse Practitioner · Stony Brook, NY
NPI number
1407317423
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Fax (631) 444-7865
Mailing address
Stony Brook Children's Hospital, Pediatric Hematology/oncology
Stony Brook, NY 11794-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 746982 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383750 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407317423
Gabrielle Lubin's National Provider Identifier is 1407317423, issued on Mar 31, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stony Brook, NY. The record was last updated on Feb 6, 2026.