Basic Information
| Provider Information | |||||||||
| NPI: | 1790765683 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUBINA | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 26960 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100876960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327802355 | ||||||||
| FaxNumber: | 8336619952 | ||||||||
| Practice Location | |||||||||
| Address1: | 55 SCHANCK RD | ||||||||
| Address2: | SUITE 8A | ||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077282964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324319544 | ||||||||
| FaxNumber: | 7324319313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2006 | ||||||||
| LastUpdateDate: | 10/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 25MB06438200 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.