Individual
SULEYMAN ENDER DOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89-06 135TH STREET, SUITE 6S, JAMAICA, NY 11418
(718) 206-6708
(718) 206-6706
Mailing address
80 MARCUS DRIVE, PROVIDER ENROLLMENT, MELVILLE, NY 11747
(631) 391-7889
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
132824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02205690
—
NY
Enumeration date
04/20/2006
Last updated
10/15/2010
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