Individual
BEVERLY DUBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Mailing address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304674-1
NY
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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