Individual
MS. DOROTHY UVAYDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
161 FORT WASHINGTON AVE FL 5, NEW YORK, NY 10032-3729
(212) 305-9612
Mailing address
12007 84TH AVE, KEW GARDENS, NY 11415-3104
(917) 376-0674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029378
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/26/2022
Last updated
12/01/2022
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