Provider Demographics
NPI:1164312740
Name:DUBENSKA, IAROSLAVA (IO)
Entity type:Individual
Prefix:MS
First Name:IAROSLAVA
Middle Name:
Last Name:DUBENSKA
Suffix:
Gender:F
Credentials:IO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2508
Mailing Address - Country:US
Mailing Address - Phone:929-327-9536
Mailing Address - Fax:
Practice Address - Street 1:2118 81ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2508
Practice Address - Country:US
Practice Address - Phone:929-327-9536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator