Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRISTY DYANN LUBAK, PA

Active Sole Proprietor

Surgical Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number: 1689702292
Provider Type: Individual
Gender: Female
NPI Issued: Mar 2, 2007 (19.13785048365 yrs)
Last Updated: May 24, 2012
License: 006234 (NY)
Sole Proprietor: Yes

Practice Information

Address: 1534 VICTORY BOULEVARD

STATEN ISLAND, NY, 10314
Browse NY providers · Browse ZIP 10314
Phone: 7186673577
Fax: 7186673043
Primary Specialty: Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in STATEN ISLAND, NY

Name	Credential	NPI
MR. PHILIP SALVATORE PATERNO	P.A.-C.	1558334128
MRS. AMY MATTIELLI	P.A.-C.	1013980606
MR. CHRISTOPHER H GANGOO	PA	1871560151
MR. JOHN ANTHONY DELLA CHIESA	PA-C	1326133117
MISS PATRICIA M O'KEEFE	P.A.	1124144241
MILAZIM DURAKOVIC	RPA-C	1790904308

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.