Provider Demographics
NPI:1548575830
Name:LUBIN, CLAUDINE BENOIT
Entity Type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:BENOIT
Last Name:LUBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MALTA PL
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-2218
Mailing Address - Country:US
Mailing Address - Phone:631-284-3035
Mailing Address - Fax:
Practice Address - Street 1:7 MALTA PL
Practice Address - Street 2:
Practice Address - City:MASTIC
Practice Address - State:NY
Practice Address - Zip Code:11950-2218
Practice Address - Country:US
Practice Address - Phone:631-284-3035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287466-1164W00000X
NY636305163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse