Healthcare Provider Details

I. General information

NPI: 1669305082
Provider Name (Legal Business Name): DODA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E 14TH ST
BROOKLYN NY
11230-3612
US

IV. Provider business mailing address

960 E 14TH ST
BROOKLYN NY
11230-3612
US

V. Phone/Fax

Practice location:
  • Phone: 347-488-8188
  • Fax: 347-488-8188
Mailing address:
  • Phone: 347-488-8188
  • Fax: 347-488-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TAMAR SOOSI
Title or Position: OWNER
Credential:
Phone: 347-488-8188