Individual
MRS. CHASITY LEE KUBIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1306 STEBBINS RD, SILVER CREEK, NY 14136-9713
(315) 882-1587
Mailing address
1306 STEBBINS RD, SILVER CREEK, NY 14136-9713
(315) 882-1587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288437
NY
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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