Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kristy Dyann Lubak, PA

Individual provider Surgical Physician Assistant · NPI 1689702292

Mrs. Kristy Dyann Lubak, PA is a Surgical Physician Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1534 Victory Blvd
Staten Island, NY 10314
Phone: (718) 667-3577
Fax: (718) 667-3043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006234 (NY)

Record details

NPI number1689702292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESMay 24, 2012

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