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Individual

MRS. MARIE D'KHARELDE DORNEVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
279 MORRIS AVE, MALVERNE, NY 11565-1214
(347) 535-2802
Mailing address
279 MORRIS AVE, MALVERNE, NY 11565-1214
(347) 535-2802

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F4306891
NY
2084P0800X
Psychiatry Physician
Primary
F404425-01
NY

Other

Enumeration date
03/22/2013
Last updated
01/31/2025
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