Individual
MS. ALICE MARGARET BUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CASAC
Contact information
Practice address
422 N MAIN ST, WARSAW, NY 14569-1023
(585) 786-8133
(585) 786-9928
Mailing address
3284 STATE ST, CALEDONIA, NY 14423-1228
(585) 538-9887
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
3580931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02200358093
—
NY
Enumeration date
09/12/2007
Last updated
09/12/2007
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