# DOT CERTIFIED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile NP Doc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356742654
- **Authorized official:** DR. JOSEPH NVAYO NDONGWA DNP, FNP-C (FOUNDER AND PRESIDENT)
- **Authorized official phone:** (585) 957-5070

## Contact information

- **Practice address:** 128 COUNTRY WOOD LNDG, ROCHESTER, NY 14626-4408
- **Practice address phone:** (585) 957-5070
- **Practice address fax:** (585) 368-9986
- **Mailing address:** PO BOX 16960, ROCHESTER, NY 14616-0960
- **Mailing address phone:** (585) 957-5070
- **Mailing address fax:** (585) 368-9986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 334735 | NY | Yes |

## Other

- **Enumeration date:** 09/06/2014
- **Last updated:** 09/06/2014
