Provider Demographics
NPI:1871854919
Name:DUBNER, LAURIE (MS, SAS)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:DUBNER
Suffix:
Gender:F
Credentials:MS, SAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BONNIE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6501
Mailing Address - Country:US
Mailing Address - Phone:914-723-4222
Mailing Address - Fax:914-272-9419
Practice Address - Street 1:27 BONNIE MEADOW RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-6501
Practice Address - Country:US
Practice Address - Phone:914-723-4222
Practice Address - Fax:914-272-9419
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator