Individual provider · Type 1 NPI
Kristy Dyann Lubak, PA
Surgical Physician Assistant · Staten Island, NY
NPI number
1689702292
Active
Practice location
1534 Victory Boulevard
Staten Island, NY 10314
Fax (718) 667-3043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 006234 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1689702292
Kristy Dyann Lubak, PA's National Provider Identifier is 1689702292, issued on Mar 2, 2007. 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 May 24, 2012.