Individual
DR. HANNI L DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 WESTCHESTER AVE, SUITE 641 N, RYE BROOK, NY 10573-1354
(914) 481-8313
(914) 872-4051
Mailing address
640 FOREST AVE, MAMARONECK, NY 10543-4413
(914) 381-9189
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014354-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014354-1
STATE LICENSE
NY
Enumeration date
10/05/2006
Last updated
02/15/2008
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