Individual
CECIL A DOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1349 BROADWAY, BROOKLYN, NY 11221-3618
(718) 975-2270
(718) 975-2271
Mailing address
1349 BROADWAY, BROOKLYN, NY 11221-3618
(718) 975-2270
(718) 975-2271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006648
NY
Other
Enumeration date
06/03/2010
Last updated
09/19/2014
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