Individual
DAVID BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9864 LUCKEY DR, HOUGHTON, NY 14744-8706
(716) 375-7500
(716) 701-6853
Mailing address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 701-6879
(716) 701-6853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765966
—
NY
Enumeration date
02/06/2006
Last updated
06/22/2023
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