Individual
MRS. ANITA LYNN DORMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 E 71ST STREET, GROUND FLOOR, NEW YORK, NY 10021-4201
(212) 535-5905
(212) 249-7654
Mailing address
121 E 71ST ST, GROUND FLOOR, NEW YORK, NY 10021-4201
(212) 535-5905
(212) 249-7654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
217683-1
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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