Healthcare Provider Details

I. General information

NPI: 1386832210
Provider Name (Legal Business Name): CHRISTIANE LYNN KUBIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

IV. Provider business mailing address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-6980
  • Fax: 203-739-8959
Mailing address:
  • Phone: 203-739-6980
  • Fax: 203-739-8959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number048579
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number263480
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: