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Individual

MASTER DOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9002 161ST ST, JAMAICA, NY 11432-6108
(718) 520-1513
(718) 520-6460
Mailing address
11008 34TH AVE, CORONA, NY 11368-1330

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
6813-P
NY

Other

Enumeration date
10/27/2023
Last updated
07/31/2024
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