Individual
THERESA DOPWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 GREENE AVE APT 3B, BROOKLYN, NY 11221-5605
(718) 812-9418
Mailing address
917 GREENE AVE APT 3B, BROOKLYN, NY 11221-5605
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
590349
NY
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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