MEDICARE: DANA DOBROWSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	DN1859749	MA

General Provider Information

NPI Number	:	1215637509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA DOBROWSKI

Provider Business Mailing Address
First Line	:	400 W 113TH ST APT 1621
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-2163
Country	:	US
Telephone Number	:	862-206-9590
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W 113TH ST APT 1621
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-2163
Country	:	US
Telephone Number	:	862-206-9590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	07/10/2023

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Directions to “ DANA DOBROWSKI ” Practice Location

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