Individual
MS. DAWN DOCCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 OCCIDENT AVE, STATEN ISLAND, NY 10304-2115
(323) 706-6328
Mailing address
9 OCCIDENT AVE, STATEN ISLAND, NY 10304-2115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174035
NY
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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