Individual
MISS TASHINA ELIZABETH DUSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
402 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 894-5600
(631) 894-5625
Mailing address
8016 87TH AVE, WOODHAVEN, NY 11421-1916
(718) 316-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299334
NY
207RC0000X
Cardiovascular Disease Physician
Primary
299334
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
12/06/2021
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