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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861542888 NPPES
New York MEDICAID 01439541

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