1669473807 NPI number — MR. CHRISTOPHER P DUBY P.A.

Table of content: MR. CHRISTOPHER P DUBY P.A. (NPI 1669473807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669473807 NPI number — MR. CHRISTOPHER P DUBY P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUBY
Provider First Name:
CHRISTOPHER
Provider Middle Name:
P
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
P.A.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669473807
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 WESTCHESTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST HARRISON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10604-2917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-684-6113
Provider Business Mailing Address Fax Number:
914-684-2740

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 WESTCHESTER AVE
Provider Second Line Business Practice Location Address:
STE 307
Provider Business Practice Location Address City Name:
PURCHASE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10577-2551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-249-7000
Provider Business Practice Location Address Fax Number:
914-249-7032
Provider Enumeration Date:
08/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  009014 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X , with the licence number: 001290 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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