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NPI Code Detail

MEDICARE: RACHEL LUBINGA

MEDICARE:   RACHEL  LUBINGA
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
1207Q00000XFamily Medicine Physician1024960MA
2207Q00000XFamily Medicine Physician33963301NY

General Provider Information

NPI Number : 1922746551
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LUBINGA
Provider Business Mailing Address
First Line : 510 S 4TH ST
Second Line :
City : FULTON
State : NY
Zip : 13069-2951
Country : US
Telephone Number : 315-592-3510
Fax Number :
Provider Business Practice Location Address
First Line : 510 S 4TH ST
Second Line :
City : FULTON
State : NY
Zip : 13069-2951
Country : US
Telephone Number : 315-592-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 10/16/2025

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Directions to “ RACHEL LUBINGA ” Practice Location

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