Individual
MS. KATHLEEN ROSE DOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN
Contact information
Practice address
800 POLY PL # 11H, NEW YORK HARBOR VA HEALTH CARE SYSTEM, BROOKLYN, NY 11209-7104
(718) 630-3730
(718) 630-2970
Mailing address
9322 THIRD AVENUE, SUITE 316, BROOKLYN, NY 11209-1208
(718) 630-3730
(718) 630-2970
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F301051-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340061-1
NY
Other
Enumeration date
05/16/2006
Last updated
07/06/2011
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