MEDICARE: DR. LUBA KARLIN MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	219013	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	MA72077	NJ

General Provider Information

NPI Number	:	1104872803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUBA KARLIN MD

Provider Business Mailing Address
First Line	:	1112 BUCKINGHAM RD
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6316
Country	:	US
Telephone Number	:	917-842-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 FORT WASHINGTON AVE
Second Line	:	SUITE 1H
City	:	NEW YORK
State	:	NY
Zip	:	10033-3507
Country	:	US
Telephone Number	:	212-781-4720
Fax Number	:	212-923-9585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/09/2015

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Directions to “ DR. LUBA KARLIN MD” Practice Location

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