Individual
DOROTHY KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(516) 551-0699
(516) 921-4432
Mailing address
797 EAST GATE, VALLEY STREAM, NY 11580
(516) 551-0699
(516) 921-4432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14979
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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