Individual
BRENT DUBESHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 LATTIMORE RD, SUITE 258, ROCHESTER, NY 14620-4159
(585) 442-8020
(585) 442-8039
Mailing address
125 LATTIMORE RD, SUITE 258, ROCHESTER, NY 14620-4159
(585) 442-8020
(585) 442-8039
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
165990
NY
207VX0201X
Gynecologic Oncology Physician
Primary
1659901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00971366
—
NY
Enumeration date
08/08/2006
Last updated
06/29/2023
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