Individual
ALLA DORFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
402 BROADWAY, LL, NEW YORK, NY 10013-3519
(212) 431-4582
(212) 431-4939
Mailing address
402 BROADWAY, LL, NEW YORK, NY 10013-3519
(212) 431-4582
(212) 431-4939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051670-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587713
—
NY
Enumeration date
10/27/2006
Last updated
07/08/2007
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