Individual
DR. LEWIS M DUBROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
475 IRVING AVE, SUITE 314, SYRACUSE, NY 13210-1756
(315) 471-3384
(315) 471-3394
Mailing address
475 IRVING AVE, SUITE 314, SYRACUSE, NY 13210-1756
(315) 471-3384
(315) 471-3394
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
131701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462675
—
NY
Enumeration date
02/28/2007
Last updated
07/09/2007
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