MEDICARE: NEIL S DUBIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35044380	OH
2	2084P0805X	Geriatric Psychiatry Physician	35044380	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	260050695	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000067364	OTHER		ANTHEM
4	024481000	OTHER	OH	MAGELLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	311152004003	OTHER	OH	MEDICAL MUTUAL OF OHIO
7	1469300	OTHER	OH	UNITED MINE WORKERS

General Provider Information

NPI Number	:	1679581698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL S DUBIN MD

Provider Business Mailing Address
First Line	:	58 EAST HOLLISTER STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1704
Country	:	US
Telephone Number	:	513-721-1737
Fax Number	:	513-287-7465

Provider Business Practice Location Address
First Line	:	58 EAST HOLLISTER STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1704
Country	:	US
Telephone Number	:	513-721-1737
Fax Number	:	513-287-7465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	10/28/2008

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Directions to “ NEIL S DUBIN MD” Practice Location

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