Provider Demographics
NPI:1720733785
Name:BABIYCHUK, LYUBOV
Entity Type:Individual
Prefix:
First Name:LYUBOV
Middle Name:
Last Name:BABIYCHUK
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 1:83 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2361
Mailing Address - Country:US
Mailing Address - Phone:267-266-3596
Mailing Address - Fax:
Practice Address - Street 1:83 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-2361
Practice Address - Country:US
Practice Address - Phone:267-266-3596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY815009163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse