Provider Demographics
NPI:1336222553
Name:DUBINSKY, GAIL MONICA (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MONICA
Last Name:DUBINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6800 PALM AVENUE
Mailing Address - Street 2:SUITE I
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472
Mailing Address - Country:US
Mailing Address - Phone:707-829-7596
Mailing Address - Fax:707-829-7597
Practice Address - Street 1:6800 PALM AVENUE
Practice Address - Street 2:SUITE I
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472
Practice Address - Country:US
Practice Address - Phone:707-829-7596
Practice Address - Fax:707-829-7597
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42467208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
A48979Medicare UPIN
CA00G424670Medicare ID - Type Unspecified