Provider Demographics
NPI:1831343524
Name:HUBNER, DORIS A (PT)
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:A
Last Name:HUBNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:A
Other - Last Name:RUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:41 VANESSA LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-4176
Mailing Address - Country:US
Mailing Address - Phone:917-747-3079
Mailing Address - Fax:
Practice Address - Street 1:41 VANESSA LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-4176
Practice Address - Country:US
Practice Address - Phone:917-747-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-08
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004739-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist