Provider Demographics
NPI:1427236017
Name:DUBEY, BRANDT DAVID (RPA-C)
Entity type:Individual
Prefix:MR
First Name:BRANDT
Middle Name:DAVID
Last Name:DUBEY
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
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Mailing Address - Street 1:15 S FOREST RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6425
Mailing Address - Country:US
Mailing Address - Phone:716-626-1824
Mailing Address - Fax:716-626-1827
Practice Address - Street 1:15 S FOREST RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6425
Practice Address - Country:US
Practice Address - Phone:716-626-1824
Practice Address - Fax:716-626-1827
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23012405363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant