Individual
DORI TEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6966
(718) 250-6080
Mailing address
243 MCDONALD AVE, APT 1F, BROOKLYN, NY 11218-1449
(718) 250-6966
(718) 250-6080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006146-1
NY
Other
Enumeration date
05/01/2007
Last updated
01/28/2013
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