Individual
DR. DAWSON D DUFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
256 WOODWARD AVE, STATEN ISLAND, NY 10314-4237
(646) 807-8325
Mailing address
3315 9TH ST APT 2R, LONG ISLAND CITY, NY 11106-4900
(347) 880-2150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68P86949
NY
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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