Organization
LEWIS M. DUBROFF, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS M DUBROFF M.D., PH.D. (PRESIDENT)
(315) 471-3384
Entity
Organization
Contact information
Practice address
475 IRVING AVE STE 314, SYRACUSE, NY 13210-1528
(315) 471-3384
Mailing address
475 IRVING AVE STE 314, SYRACUSE, NY 13210-1528
(315) 471-3384
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
131701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462675
—
NY
Enumeration date
05/13/2008
Last updated
05/15/2008
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