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NPI Code Detail

MEDICARE: MR. IRWIN LEO LUBELL MSW

MEDICARE:  MR. IRWIN LEO LUBELL  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR026648-1NY

General Provider Information

NPI Number : 1427129667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. IRWIN LEO LUBELL MSW
Provider Business Mailing Address
First Line : 1 ELM ST
Second Line : PARKWAY PLAZA MEDICAL CENTER
City : TUCKAHOE
State : NY
Zip : 10707-3925
Country : US
Telephone Number : 914-741-0396
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELM ST
Second Line : PARKWAY PLAZA MEDICAL CENTER
City : TUCKAHOE
State : NY
Zip : 10707-3925
Country : US
Telephone Number : 914-741-0396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/08/2007

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Directions to “ MR. IRWIN LEO LUBELL MSW” Practice Location

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