Individual
MARVA DOLPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 W PROSPECT AVE, MOUNT VERNON, NY 10550-2017
(914) 908-5409
Mailing address
11 W PROSPECT AVE, MOUNT VERNON, NY 10550-2017
(914) 908-5409
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
496796
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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