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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN LUBLINER MSPT

MEDICARE: MRS. JENNIFER LYNN LUBLINER MSPT
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
12251P0200XPediatric Physical Therapist031703-1NY

General Provider Information

NPI Number : 1750510954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN LUBLINER MSPT
Provider Business Mailing Address
First Line : 21 IMPERIAL DR
Second Line :
City : MILLER PLACE
State : NY
Zip : 11764-3225
Country : US
Telephone Number : 631-880-1087
Fax Number : 801-504-1730
Provider Business Practice Location Address
First Line : 65 COURT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4916
Country : US
Telephone Number : 631-880-1087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2009
Last Update Date : 03/30/2012

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