National Provider Identifier
Tina Dubeck
Tina Dubeck is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 961-6995.
Profile Overview
- NPI
- 1124597521
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- November 15, 2018
- Last Updated
- November 15, 2018
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 961-6995
Mailing Address
- PO Box 708760
- Sandy, UT 84070-8760
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1124597521
- Entity Type
- Individual
- Last Name
- Dubeck
- First Name
- Tina
- Mailing Street Address
- PO Box 708760
- Mailing City
- Sandy
- Mailing State
- UT
- Mailing ZIP Code
- 84070-8760
- Mailing Country
- US
- Mailing Phone
- (801) 352-9500
- Mailing Fax
- (801) 352-7976
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 961-6995
- Practice Fax
- (716) 898-5193
- Enumeration Date
- November 15, 2018
- Last Updated
- November 15, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)