| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | CHERUBIM JUSTIN L MD · JUSTIN LAWRENCE CHERUBIM | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | JUSTIN | [sources] | |||
| ID Number | 00201105 | [sources] | |||
| Last name | CHERUBIM | [sources] | |||
| Middle name | LAWRENCE | [sources] | |||
| NPI | 1326110883 | [sources] | |||
| Sector | Physician | [sources] | |||
| Unique Entity ID | W49RX7LJEHD9 | [sources] | |||
| Position | EMERGENCY MEDICINE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 161A STUDENT LANE, BROCKPORT, NY 14420 · BROCKPORT, NY 14420, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medny-31ebffd7635d9d007ddc6ec80b0bce1d27f63474 · us-fed-excl-justin-lawrence-cherubim-14420-brockportFor experts: raw data explorer
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| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | OPM | Reciprocal | - |