# HOUGHTON COLLEGE STUDENT HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689682841
- **Authorized official:** DAVID BRUBAKER MD (CHIEF PHYSICIAN)
- **Authorized official phone:** (585) 567-9483

## Contact information

- **Practice address:** 9789 CR 35, HOUGHTON, NY 14744
- **Practice address phone:** (585) 567-9483
- **Practice address fax:** (585) 567-4303
- **Mailing address:** PO BOX 5199, ABILENE, TX 79608-5199
- **Mailing address phone:** (866) 890-6390
- **Mailing address fax:** (325) 437-8390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 11/05/2007
