Individual
KSENIYA DOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6433 99TH ST APT 6L, REGO PARK, NY 11374-3543
(929) 255-0911
Mailing address
6433 99TH ST APT 6L, REGO PARK, NY 11374-3543
(929) 255-0911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309554
NY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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