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NPI Code Detail

MEDICARE: MS. DONNA DHOLAKIA

MEDICARE: MS. DONNA DHOLAKIA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1255731675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA DHOLAKIA
Provider Business Mailing Address
First Line : 110 FORSTER PL
Second Line :
City : MELVILLE
State : NY
Zip : 11747-8129
Country : US
Telephone Number : 631-673-0009
Fax Number :
Provider Business Practice Location Address
First Line : 55 HORIZON DR
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4436
Country : US
Telephone Number : 631-920-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 09/04/2014

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Directions to “ MS. DONNA DHOLAKIA ” Practice Location

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