Individual
DR. STEPHANIE PANUSH DUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19 E 37TH ST, NEW YORK, NY 10016-3005
(212) 239-2112
Mailing address
19 E 37TH ST, NEW YORK, NY 10016-3005
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
036120408
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
255320-1
NY
Other
Enumeration date
08/08/2008
Last updated
11/09/2009
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