Provider Demographics
NPI:1932410511
Name:LYUBYNSKA, NATALYA (MD)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:LYUBYNSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20900 BISCAYNE BOULEVARD
Mailing Address - Street 2:EMCARE SOUTH DIVISION AVENTURA HOSPITAL #2689 AHM 18
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-682-7310
Mailing Address - Fax:
Practice Address - Street 1:20900 BISCAYNE BOULEVARD
Practice Address - Street 2:EMCARE SOUTH DIVISION AVENTURA HOSPITAL #2689 AHM 18
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-0000
Practice Address - Country:US
Practice Address - Phone:305-682-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 115759207R00000X
MI4301097061390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program