Dorschug, Sarita K

Dorschug, Sarita K is an individual health care provider with primary practice located at 652 Suffolk Ave Suite 208, Brentwood NY 11717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dorschug, Sarita K can be contacted via phone (631) 231-3535.

Contact Information

Primary practice address
652 Suffolk Ave Suite 208 Brentwood NY 11717
Fax: (631) 231-3561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 203811 New York

Profile Details

NPI number 1811073935
LBN Legal business name Dorschug, Sarita K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - 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 1811073935 NPPES
New York MEDICAID 01990303

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