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NPI Code Detail

MEDICARE: MR. ERNEST BUBERMAN DC

MEDICARE:  MR. ERNEST  BUBERMAN  DC
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
1111N00000XChiropractorX010911NY

General Provider Information

NPI Number : 1871545780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERNEST BUBERMAN DC
Provider Business Mailing Address
First Line : 2741 E 28TH ST
Second Line : 6J
City : BROOKLYN
State : NY
Zip : 11235-2453
Country : US
Telephone Number : 718-812-0569
Fax Number :
Provider Business Practice Location Address
First Line : 2964 BRIGHTON 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-8532
Country : US
Telephone Number : 718-812-0569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 09/24/2012

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Directions to “ MR. ERNEST BUBERMAN DC” Practice Location

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