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Individual

DR. CHARISSE ALLYN DOLITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
604 E PARK AVE, LONG BEACH, NY 11561-2505
(516) 432-0011
(516) 889-5681
Mailing address
604 E PARK AVE, LONG BEACH, NY 11561-2505
(516) 432-0011
(516) 889-5681

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
168574-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010168574NY01
ANTHEM
05
01453456
NY
01
019530
BETTER HEALTH ADVANTAGE
01
0300191
UNITED HEALTHCARE
01
070008112
PALMETTO GBA RR MEDICARE
01
124428089
TRICARE/CHAMPUS
01
19000
MASTERCARE
01
23123
GHI
01
2C8727
HEALTHNET
01
31F601
BCBS
01
42617
VYTRA
01
69786
UHC EMPIRE PLAN
01
73594
GHI HMO
01
7903379002
CIGNA
01
AE01606
MDNY
01
AETNA/USHEALTHCARE
112380
01
P397100
OXFORD
Enumeration date
05/01/2006
Last updated
07/05/2011
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