Individual
COURTNEY ANNE DZIUBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E.
Contact information
Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
(315) 853-3190
Mailing address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
(315) 853-3190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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