Provider Demographics
NPI:1154366433
Name:ARTHUR M LUBITZ MD PC
Entity type:Organization
Organization Name:ARTHUR M LUBITZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUBITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-247-7447
Mailing Address - Street 1:315 W 57TH ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3158
Mailing Address - Country:US
Mailing Address - Phone:212-247-7447
Mailing Address - Fax:212-307-0865
Practice Address - Street 1:315 W 57TH ST
Practice Address - Street 2:SUITE 309
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3158
Practice Address - Country:US
Practice Address - Phone:212-247-7447
Practice Address - Fax:212-307-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146687207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B12702Medicare UPIN
NYW35222Medicare PIN
NY31005Medicare ID - Type Unspecified