Individual
TODD M KUBESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
57 N HARRISON ST, JOHNSON CITY, NY 13790-1476
(607) 763-6000
Mailing address
156 CORLISS AVE APT 107, JOHNSON CITY, NY 13790-2071
(607) 763-6735
(607) 763-6736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
717023-1
NY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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