Provider Demographics
NPI:1851667505
Name:LUBLINER, KRISTEN J (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:J
Last Name:LUBLINER
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:J
Other - Last Name:PULLANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, MS
Mailing Address - Street 1:88 WYLDE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:88 WYLDE RD
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2401
Practice Address - Country:US
Practice Address - Phone:631-807-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist