Individual
MS. DINA SEDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 BRADHURST AVE, SUITE 700, HAWTHORNE, NY 10532-2140
(914) 593-7872
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730505
—
NY
01
—
303605
NYS LICENSE
NY
Enumeration date
01/28/2006
Last updated
11/04/2016
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