Individual
DR. SPENCER F. DUBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
73 HAMLET DR, COMMACK, NY 11725-4439
(631) 858-0011
(631) 858-0011
Mailing address
73 HAMLET DR, COMMACK, NY 11725-4439
(631) 858-0011
(631) 858-0011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
002042
NY
213ES0131X
Foot Surgery Podiatrist
Primary
002042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00414388
—
NY
01
—
P10342
BLUE SHIELD/BLUE CROSS
NY
Enumeration date
07/07/2005
Last updated
12/19/2007
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