Provider Demographics
NPI:1447306923
Name:DUBROWIN, RONNIE L (CNM)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:L
Last Name:DUBROWIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 RUIE RD
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1741
Mailing Address - Country:US
Mailing Address - Phone:518-281-3238
Mailing Address - Fax:
Practice Address - Street 1:910 RUIE RD
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-1741
Practice Address - Country:US
Practice Address - Phone:518-281-3238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000024-1176B00000X
CT000266367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT420000213Medicare ID - Type Unspecified
CTE45275Medicare UPIN