Healthcare Provider Details

I. General information

NPI: 1891042024
Provider Name (Legal Business Name): DORANN R LYON M.S.SP.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2012
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E BETHPAGE ROAD MARION K SALOMON & ASSOCIATES
PLAINVIEW NY
11803
US

IV. Provider business mailing address

25 NEW HAMPSHIRE ST
LONG BEACH NY
11561-1316
US

V. Phone/Fax

Practice location:
  • Phone: 516-431-7645
  • Fax: 516-431-7645
Mailing address:
  • Phone: 516-431-7645
  • Fax: 516-431-7645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: