Provider Demographics
NPI:1972878858
Name:LUBIN, CINDY (RN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:LUBIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-1303
Mailing Address - Country:US
Mailing Address - Phone:718-563-8013
Mailing Address - Fax:718-563-1568
Practice Address - Street 1:2195 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1303
Practice Address - Country:US
Practice Address - Phone:718-563-8013
Practice Address - Fax:718-563-1568
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348104163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool