Individual
MICHELLE L DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3959 BROADWAY FL 2, NEW YORK, NY 10032-1559
(212) 305-4436
(212) 342-1443
Mailing address
3959 BROADWAY FL 2, NEW YORK, NY 10032-1559
(212) 305-4436
(212) 342-1443
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382881
NY
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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