MEDICARE: ABIGAIL LUBIN 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	207Q00000X	Family Medicine Physician	324311	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740644673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL LUBIN MD

Provider Business Mailing Address
First Line	:	24 HAMILTON ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-4226
Country	:	US
Telephone Number	:
Fax Number	:	877-767-2310

Provider Business Practice Location Address
First Line	:	24 HAMILTON ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-4226
Country	:	US
Telephone Number	:	518-886-5600
Fax Number	:

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	05/11/2026

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