Individual
MS. FABIOLA DORESTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-1000
Mailing address
1859 E 52ND ST, BROOKLYN, NY 11234-4616
(347) 907-1220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767903
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421910
NY
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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