Provider Demographics
NPI:1841252616
Name:LUBARS, EILEEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:LUBARS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E 70TH ST
Mailing Address - Street 2:STE 4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8617
Mailing Address - Country:US
Mailing Address - Phone:212-988-8198
Mailing Address - Fax:
Practice Address - Street 1:310 E 70TH ST
Practice Address - Street 2:STE 4D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8617
Practice Address - Country:US
Practice Address - Phone:212-988-8198
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0144391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N09491Medicare ID - Type Unspecified