Individual
DAHLIA N/A DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21111 NORTHERN BLVD, BAYSIDE, NY 11361-3241
(718) 705-1000
Mailing address
683 HALF HOLLOW RD, DIX HILLS, NY 11746-6232
(718) 578-2337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021924
NY
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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