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Ms. Kathleen Rose Douris

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

800 Poly Pl # 11h New York Harbor Va Health Care System
Brooklyn , New York 11209-7104

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Ms. Kathleen Rose Douris

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

800 Poly Pl # 11h New York Harbor Va Health Care System
Brooklyn , New York 11209-7104

(718) 630-2970

Write a Review Save Call

Ms. Kathleen Rose Douris

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

800 Poly Pl # 11h New York Harbor Va Health Care System
Brooklyn , New York 11209-7104

(718) 630-2970 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Adult Health
  • Nurse Practitioner - Gerontology

Languages spoken

  • English

Location

800 Poly Pl # 11h New York Harbor Va Health Care System Brooklyn , New York 11209-7104

First Address

  • Ms. Kathleen Rose Douris
  • 9322 Third Avenue Suite 316
  • Brooklyn, NY
  • Zip : 11209-1208
  • Fax : (718) 630-2970
  • Phone : (718) 630-3730

Second Address

  • Ms. Kathleen Rose Douris
  • 800 Poly Pl # 11h New York Harbor Va Health Care System
  • Brooklyn, NY
  • Zip : 11209-7104
  • Fax : (718) 630-2970
  • Phone : (718) 630-3730

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FAQs


Where did Ms. Kathleen Rose Douris attend graduate school?

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Where did Ms. Kathleen Rose Douris do her residency?

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Where did Ms. Kathleen Rose Douris do her fellowship?

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Is Ms. Kathleen Rose Douris board certified?

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What type of doctor is Ms. Kathleen Rose Douris

Nurse Practitioner - Gerontology

In what state does Ms. Kathleen Rose Douris practice in?

New York

Where is Ms. Kathleen Rose Douris ’s practice located?

800 Poly Pl # 11h New York Harbor Va Health Care System , Brooklyn, New York, 11209-7104

What is Ms. Kathleen Rose Douris ’s gender?

Female

Is Ms. Kathleen Rose Douris a sole practitioner?

No

Is Ms. Kathleen Rose Douris accepting new patients?

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What languages does Ms. Kathleen Rose Douris speak?

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Does Ms. Kathleen Rose Douris accept insurance?

Yes, Ms. Kathleen Rose Douris accepts insurance

Does Ms. Kathleen Rose Douris offers telemedicine?

Ms. Kathleen Rose Douris has not indicated if she offers telemedicine

What is Ms. Kathleen Rose Douris ’s professional license number?

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What is Ms. Kathleen Rose Douris ’s NPI number?

1053363275

Does Ms. Kathleen Rose Douris have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LA2200X Nurse Practitioner - Adult Health F301051-1 NY
Y 363LG0600X Nurse Practitioner - Gerontology F340061-1 NY

National Provider Identifier

NPI 1053363275
Provider Name Ms. Kathleen Rose Douris
First Address Brooklyn, NY 11209-1208
Second Address Brooklyn, NY 11209-7104
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/05/2006
Last Update Date 06/07/2011

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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