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Individual

JULIANNE M DUBIEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
792 N MAIN ST, SUITE 100B, N SYRACUSE, NY 13212-1644
(315) 458-4623
(315) 458-4652
Mailing address
792 N MAIN ST, SUITE 100B, N SYRACUSE, NY 13212-1644
(315) 458-4623
(315) 458-4652

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191023-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01397346
NY
Enumeration date
10/24/2005
Last updated
07/08/2007
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