Doctor Name: | MS. JEANNE HUBNER |
NPI Number: | 1124141338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F302119-1 |
Business Practice Address: | 46 Mount Ebo Rd N Brewster, NY - 105093600 |
Business Phone Number: | 8452783636 |
Business Fax Number: | |
Mailing Address: | Po Box 324, SOMERS |
State: | NY |
Postal Code: | 105890324 |
Phone Number: | 9145526413 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F302119-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |