Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 212834 | NY |
NPI | 1962433037 |
---|---|
Provider Name | Dr. Patricia Anne Dobbins-Sullivan |
First Address | Blauvelt, NY 10913-1736 |
Second Address | Pomona, NY 10970-3555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |