Individual
JEROME M DUBROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-8002
(718) 946-7557
(718) 946-9680
Mailing address
PO BOX 6540, CHURCH STREET STATION, NEW YORK, NY 10249-6540
(718) 946-7557
(718) 946-9680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141454
NY
207RC0000X
Cardiovascular Disease Physician
Primary
141454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687710
—
NY
Enumeration date
05/19/2006
Last updated
10/11/2007
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