Individual
DORIA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
131 DUDLEY ST APT 334, JERSEY CITY, NJ 07302-4609
(207) 607-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023806
NY
Other
Enumeration date
08/14/2019
Last updated
11/27/2023
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