Individual
DR. EMMA GORYNSKI DABOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 STEWART AVENUE, BETHPAGE, NY 11714-3596
(516) 938-0100
(516) 938-0120
Mailing address
ADVANTAGECARE PHYSICIANS, PC, 55 WATER STREET 2ND FLOOR CRED DEPT, NEW YORK, NY 10041
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
288123
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2014
Last updated
02/26/2021
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