Individual
JACK DUSHEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 SOUNDVIEW AVE, APT 1, WHITE PLAINS, NY 10606-3327
(914) 949-5770
(914) 949-5573
Mailing address
14 SOUNDVIEW AVE, APT 1, WHITE PLAINS, NY 10606-3327
(914) 949-5770
(914) 949-5573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109659
NY
207RG0100X
Gastroenterology Physician
Primary
109659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00543375
—
NY
01
—
221689SJ
WORKERS COMP
NY
Enumeration date
04/11/2006
Last updated
09/11/2025
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