Individual
MRS. COURTNEY LYNN DORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 VIBURNUM CT, MILLER PLACE, NY 11764-3015
(631) 291-5457
Mailing address
6 VIBURNUM CT, MILLER PLACE, NY 11764-3015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34392801
NY
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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