Provider Demographics
NPI:1285192039
Name:KUBIK, JEREMY (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:
Last Name:KUBIK
Suffix:
Gender:M
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:HOSPITAL FOR SPECIAL SURGERY, ACADEMIC TRAINING DEPARTM
Mailing Address - Street 2:535 EAST 70TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-606-1350
Mailing Address - Fax:212-606-1961
Practice Address - Street 1:HOSPITAL FOR SPECIAL SURGERY, ACADEMIC TRAINING DEPARTM
Practice Address - Street 2:535 EAST 70TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-606-1350
Practice Address - Fax:212-606-1961
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program