Individual
BERNETTE DORVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 886-8694
(718) 886-8694
Mailing address
52 PATIO RD, MIDDLETOWN, NY 10941-1619
(646) 322-3062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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