Individual
BIANCA DOCKSTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SUFFERN PL STE B, SUFFERN, NY 10901-5566
(845) 369-4058
Mailing address
15 SUFFERN PL STE B, SUFFERN, NY 10901-5566
(845) 369-4058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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