Provider Demographics
NPI:1932516135
Name:LUBELL, CHLOE HALL (RN, CNM)
Entity Type:Individual
Prefix:MS
First Name:CHLOE
Middle Name:HALL
Last Name:LUBELL
Suffix:
Gender:F
Credentials:RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1272
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10276-1272
Mailing Address - Country:US
Mailing Address - Phone:609-651-3149
Mailing Address - Fax:732-605-5958
Practice Address - Street 1:717 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3506
Practice Address - Country:US
Practice Address - Phone:609-651-3149
Practice Address - Fax:732-605-5958
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-20
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY688148163W00000X
NYF001629367A00000X
NY001629367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse