Provider Demographics
NPI:1760240055
Name:DUBSKY, DOREEN J
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:J
Last Name:DUBSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7639 MCCREARY RD
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5803
Mailing Address - Country:US
Mailing Address - Phone:216-392-9630
Mailing Address - Fax:
Practice Address - Street 1:7639 MCCREARY RD
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-5803
Practice Address - Country:US
Practice Address - Phone:216-392-9630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant