National Provider Identifier
Jeralyn Rose Kubasik, LMT
Jeralyn Rose Kubasik, LMT is listed in the NPPES registry with a primary specialty of Community Health Worker in Dunkirk, NY and a listed phone number of (716) 366-1656.
Profile Overview
- NPI
- 1023344132
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- October 23, 2009
- Last Updated
- October 23, 2009
Practice Location
- 614 Central Ave
- Dunkirk, NY 14048-2539
Phone: (716) 366-1656
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1023344132
- Entity Type
- Individual
- Last Name
- Kubasik
- First Name
- Jeralyn
- Middle Name
- Rose
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 614 Central Ave
- Mailing City
- Dunkirk
- Mailing State
- NY
- Mailing ZIP Code
- 14048-2539
- Mailing Country
- US
- Mailing Phone
- (716) 366-1656
- Practice Street Address
- 614 Central Ave
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2539
- Practice Country
- US
- Practice Phone
- (716) 366-1656
- Enumeration Date
- October 23, 2009
- Last Updated
- October 23, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)