Provider Demographics
NPI:1235286451
Name:LUBIN, HADAR (MD)
Entity type:Individual
Prefix:
First Name:HADAR
Middle Name:
Last Name:LUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-7313
Mailing Address - Country:US
Mailing Address - Phone:203-624-2146
Mailing Address - Fax:203-624-2791
Practice Address - Street 1:19 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-7313
Practice Address - Country:US
Practice Address - Phone:203-624-2146
Practice Address - Fax:203-624-2791
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0320902084P0800X
NY60-2376432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry