Individual
DR. BRUCE CHUBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
77 WASHINGTON AVE, LAWRENCE, NY 11559-1803
(516) 374-1745
(516) 374-5161
Mailing address
77 WASHINGTON AVE, LAWRENCE, NY 11559-1803
(516) 374-1745
(516) 374-5161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00286526
—
NY
Enumeration date
11/15/2006
Last updated
12/11/2011
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