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Individual

DAHLIA MANSDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 374-8000
(516) 734-8015
Mailing address
360 CENTRAL AVE, APT 104, LAWRENCE, NY 11559-1619
(171) 854-4570

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339226-1
NY

Other

Enumeration date
10/20/2014
Last updated
10/20/2014
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