Individual
DR. SHAWN TIMOTHY BUBANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 SAW MILL RD, DELHI, NY 13753-1421
(612) 242-8065
Mailing address
12 SAW MILL RD, DELHI, NY 13753-1421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020130-01
NY
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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