Basic Information
Provider Information
NPI: 1447394762
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUBRANO
FirstName: ARCANGELO
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17 NASSAU RD
Address2:  
City: LARCHMONT
State: NY
PostalCode: 105383214
CountryCode: US
TelephoneNumber: 9148342836
FaxNumber: 9148331472
Practice Location
Address1: 320 CHURCH ST
Address2:  
City: SALINAS
State: CA
PostalCode: 939012612
CountryCode: US
TelephoneNumber: 8317961700
FaxNumber: 8317968686
Other Information
ProviderEnumerationDate: 02/19/2007
LastUpdateDate: 03/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X1782631NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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