Dubov, Spencer F.

Dubov, Spencer F. is an sole proprietor health care provider with primary practice located at 73 Hamlet Dr , Commack NY 11725-4439. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Dubov, Spencer F. can be contacted via phone (631) 858-0011.

Contact Information

Primary practice address
73 Hamlet Dr Commack NY 11725-4439
Phone: (631) 858-0011
Fax: (631) 858-0011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 002042 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 002042 New York

Profile Details

NPI number 1477550226
LBN Legal business name Dubov, Spencer F.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Dec 19th, 2007 - about 17 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 1477550226 NPPES
New York MEDICAID 00414388
New York Other P10342

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