Individual
COLLEEN DORCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
711 SULLIVAN ST, ELMIRA, NY 14901-2322
(607) 734-6151
(607) 734-2943
Mailing address
548 E MAIN ST, BATAVIA, NY 14020-2740
(585) 409-4878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406226
NY
Other
Enumeration date
08/07/2024
Last updated
10/11/2024
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