Lubunmi Ifabiyi, MD | |
344 Britton Ave, Staten Island, NY 10304-3428 | |
(347) 553-0365 | |
Not Available |
Full Name | Lubunmi Ifabiyi |
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Gender | Female |
Speciality | Family Medicine |
Location | 344 Britton Ave, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497796445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01269 (North Carolina) | Primary |
Entity Name | American Current Care Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306015102 PECOS PAC ID: 8426196098 Enrollment ID: O20091119000309 |
Entity Name | Ctd Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851039762 PECOS PAC ID: 4486025087 Enrollment ID: O20230803000846 |
Mailing Address | Practice Location Address |
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Lubunmi Ifabiyi, MD 344 Britton Ave, Staten Island, NY 10304-3428 Ph: (347) 553-0365 | Lubunmi Ifabiyi, MD 344 Britton Ave, Staten Island, NY 10304-3428 Ph: (347) 553-0365 |
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