Individual
DAWN M DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2044 ROUTE 32, SUITE 4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9660
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
407982-1
NY
363L00000X
Nurse Practitioner
331575
NY
363LF0000X
Family Nurse Practitioner
Primary
331575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03652242
—
NY
Enumeration date
07/11/2006
Last updated
02/02/2017
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