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NPI Code Detail

MEDICARE: JAY B. LUBLINER, DMD, PLLC

MEDICARE: JAY B. LUBLINER, DMD, PLLC
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
11223G0001XGeneral Practice Dentistry044867NY

General Provider Information

NPI Number : 1831192376
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAY B. LUBLINER, DMD, PLLC
Provider Business Mailing Address
First Line : 89 GRAND AVE
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-4905
Country : US
Telephone Number : 516-798-0223
Fax Number : 516-798-1970
Provider Business Practice Location Address
First Line : 89 GRAND AVE
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-4905
Country : US
Telephone Number : 516-798-0223
Fax Number : 516-798-1970
Authorized Official
Title or Position : SOLE MEMBER/OWNER
Name : DR. JAY LUBLINER
Credential : D.M.D.
Telephone Number : 516-798-0223
Provider Enumeration Date : 05/29/2005
Last Update Date : 08/20/2013

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