KRISTY DYANN LUBAK

STATEN ISLAND, NY
NPI1689702292
Former NameKRISTY HEYWOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  006234)
Enumeration Date2007-03-02
Last Update Date2012-05-24
Business Address
Mrs. KRISTY DYANN LUBAK PA
1534 VICTORY BOULEVARD
STATEN ISLAND, NY 10314
Phone number: 718-667-3577
Mailing Address
Mrs. KRISTY DYANN LUBAK PA
1534 VICTORY BOULEVARD
STATEN ISLAND, NY 10314
Phone number: 718-667-3577
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