Provider Demographics
NPI:1841428869
Name:DOBRINSKI, MICHAEL S (RN, MS, FNP)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:S
Last Name:DOBRINSKI
Suffix:
Gender:M
Credentials:RN, MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2580
Mailing Address - Country:US
Mailing Address - Phone:607-729-8156
Mailing Address - Fax:607-729-2209
Practice Address - Street 1:91 CHENANGO BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901
Practice Address - Country:US
Practice Address - Phone:607-648-4151
Practice Address - Fax:607-648-7138
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03126616Medicaid
NY03126616Medicaid
NYJ400006213Medicare PIN