Individual
DR. JESELLE DOOKRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
487 LAKE AVE, SAINT JAMES, NY 11780-2277
(631) 584-6152
Mailing address
487 LAKE, SAINT JAMES, NY 11780
(631) 584-6152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291089-1
NY
Other
Enumeration date
04/24/2015
Last updated
12/27/2018
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