Individual
JOHN BUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 HARRIS BUSHVILLE RD, MONTICELLO, NY 12701-3027
(845) 794-3300
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16012600
NJ
163W00000X
Registered Nurse
654959
PA
163W00000X
Registered Nurse
692806
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
692806
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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