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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1477550226 | NPPES |
New York | MEDICAID | 00414388 | |
New York | Other | P10342 |
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