Healthcare Provider Details

I. General information

NPI: 1902866684
Provider Name (Legal Business Name): HELEN GIBNEY DUBINSKY APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 NORWOOD AVE
NORTHPORT NY
11768-1942
US

IV. Provider business mailing address

48 NORWOOD AVE
NORTHPORT NY
11768-1942
US

V. Phone/Fax

Practice location:
  • Phone: 631-261-5996
  • Fax: 631-261-5996
Mailing address:
  • Phone: 631-261-5996
  • Fax: 631-261-5996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number222194-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: