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General NPI Number Information
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NPI Number | 1922146166
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Entity Type | Individual
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Provider Name | BONNIE LEE DOBKIN MD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 990 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4822
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Country | US
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Telephone | 516-222-2022
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Fax | 516-222-8475
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Provider Business Mailing Address
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Address Line | 990 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4822
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Country | US
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Telephone | 516-222-2022
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Fax | 516-222-8475
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 196585
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA06919100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 76105
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License Number State | MA
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