Individual
CONNOR A DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(516) 462-3746
Mailing address
124 S PARK AVE APT 2Q, ROCKVILLE CENTRE, NY 11570-6136
(516) 220-1325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113983
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2019
Last updated
09/30/2021
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