Individual
MRS. DOROTHY FEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
892 CHESTNUT RIDGE RD, CHESTNUT RIDGE, NY 10977-6626
(845) 577-6312
(845) 577-6328
Mailing address
55 DUTCH HOLLOW DR, ORANGEBURG, NY 10962-1703
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
593453
NY
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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