Clubwala, Nilufer
Clubwala, Nilufer is an individual health care provider with primary practice located at 70 Gilbert St Suite 103, Monroe NY 10950-1538. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Clubwala, Nilufer can be contacted via phone (845) 782-8616.Contact Information
Primary practice address
70 Gilbert St Suite 103
Monroe NY 10950-1538
Phone: (845) 782-8616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 167847 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 053683 | Connecticut |
Profile Details
| NPI number | 1861542888 |
|---|---|
| LBN Legal business name | Clubwala, Nilufer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Mar 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861542888 | NPPES |
| New York | MEDICAID | 01439541 |
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