Individual
KATHLEEN DUBNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1840
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
293066
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
09/16/2020
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