Individual
THERESE KATHRYN DOROBEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 E 90TH ST, #2C, NEW YORK, NY 10128-2357
(914) 885-4978
Mailing address
147 E 90TH ST, #2C, NEW YORK, NY 10128-2357
(914) 885-4978
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
612525-1
NY
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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