Provider Demographics
NPI:1952570897
Name:DUBRO, ALAN FRAZIER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:FRAZIER
Last Name:DUBRO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:267 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1614
Mailing Address - Country:US
Mailing Address - Phone:914-262-8395
Mailing Address - Fax:914-637-8801
Practice Address - Street 1:660 WHITE PLAINS RD STE 630
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5107
Practice Address - Country:US
Practice Address - Phone:914-323-0300
Practice Address - Fax:914-323-0355
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9323103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical