Provider Demographics
NPI:1760658512
Name:LUBINGA, ESTHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:LUBINGA
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 1:20 CANALVIEW MALL
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-1735
Mailing Address - Country:US
Mailing Address - Phone:315-598-1237
Mailing Address - Fax:315-598-1256
Practice Address - Street 1:20 CANALVIEW MALL
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-1735
Practice Address - Country:US
Practice Address - Phone:315-598-1237
Practice Address - Fax:315-598-1256
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261848207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine