Healthcare Provider Details

I. General information

NPI: 1457230484
Provider Name (Legal Business Name): DAWA DOLMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEW YORK-PRESBYTERIAN QUEENS HOSPITAL 56-45 MAIN ST
FLUSHING NY
11355
US

IV. Provider business mailing address

8124 255TH ST
GLEN OAKS NY
11004-1415
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number681066-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: