Individual
DORIS LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 W 170TH ST APT 4A, NEW YORK, NY 10032-3207
(917) 622-3311
Mailing address
617 W 170TH ST APT 4A, NEW YORK, NY 10032-3207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022464
NY
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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