Individual
MS. JERALYN ROSE KUBASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
614 CENTRAL AVE, DUNKIRK, NY 14048-2539
(716) 366-1656
Mailing address
614 CENTRAL AVE, DUNKIRK, NY 14048-2539
(716) 366-1656
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
023022
NY
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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