Dori, Iris

Dori, Iris is an individual health care provider with primary practice located at 440 Seaview Ave , Staten Island NY 10305-3401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dori, Iris can be contacted via phone (718) 226-6550.

Contact Information

Primary practice address
440 Seaview Ave Staten Island NY 10305-3401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 204440 New York

Profile Details

NPI number 1699758912
LBN Legal business name Dori, Iris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated May 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699758912 NPPES
New York MEDICAID 01978147

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