Basic Information
Provider Information
NPI: 1730573148
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEN-GHALY
FirstName: LUBABAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: DEPT OF EMERGENCY MEDICINE, B1-27, ELMHURST HOSPITAL
Address2: 7901 BROADWAY
City: ELMHURST
State: NY
PostalCode: 11373
CountryCode: US
TelephoneNumber: 7813343050
FaxNumber: 7183343015
Practice Location
Address1: DEPT OF EMERGENCY MEDICINE, B1-27, ELMHURST HOSPITAL
Address2: 7901 BROADWAY
City: ELMHURST
State: NY
PostalCode: 11373
CountryCode: US
TelephoneNumber: 7813343050
FaxNumber: 7183343015
Other Information
ProviderEnumerationDate: 03/24/2015
LastUpdateDate: 12/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/09/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X298404NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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