Individual
JOHN P DODARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TELEPORT DR STE 200, STATEN ISLAND, NY 10311-1000
(718) 370-0072
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
191172
NY
207Y00000X
Otolaryngology Physician
25MA06414200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840151
—
NY
Enumeration date
03/29/2006
Last updated
01/29/2019
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