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Individual

JACLYN DORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(973) 886-0400
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(973) 886-0400

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431037-1
NY

Other

Enumeration date
08/30/2016
Last updated
04/12/2021
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