Provider Demographics
NPI:1477622306
Name:DUBECK, FRANK J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:DUBECK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 E PARKWAY
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NE
Mailing Address - Zip Code:13501-5525
Mailing Address - Country:US
Mailing Address - Phone:315-797-1303
Mailing Address - Fax:
Practice Address - Street 1:1202 PARKWAY E
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5525
Practice Address - Country:US
Practice Address - Phone:315-797-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162172207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine