Individual
MRIDULA DOGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4264 KISSENA BLVD, FLUSHING, NY 11355-3213
(718) 445-0455
(718) 445-0456
Mailing address
4264 KISSENA BLVD, FLUSHING, NY 11355-3213
(718) 445-0455
(718) 445-0456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834304
—
NY
Enumeration date
03/08/2006
Last updated
02/13/2012
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