Individual
MS. DOREEN T MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
113 HUDSON AVE, CHATHAM, NY 12037-1324
(518) 392-6742
(518) 392-6019
Mailing address
113 HUDSON AVE, CHATHAM, NY 12037-1324
(518) 392-6742
(518) 392-6019
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
003833
NY
363A00000X
Physician Assistant
Primary
003833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405581001
BSNENY
NY
05
—
02212366
—
NY
01
—
070418000033
FIDELIS
NY
01
—
356364
MVP HEALTHCARE
NY
01
—
AA0422
MEDICARE PTAN
NY
01
—
BA0876
MEDICARE PTAN
NY
01
—
W34181
MEDICARE PTAN
NY
Enumeration date
08/27/2006
Last updated
09/16/2014
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