Provider Demographics
NPI:1699106021
Name:DUBYNA, ANDREW JOHN (LAC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOHN
Last Name:DUBYNA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3458
Mailing Address - Country:US
Mailing Address - Phone:201-341-6444
Mailing Address - Fax:
Practice Address - Street 1:199 PERSHING RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3458
Practice Address - Country:US
Practice Address - Phone:201-341-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist