Douris, Kathleen Rose

Douris, Kathleen Rose is an individual health care provider with primary practice located at 800 Poly Pl # 11H New York Harbor Va Health Care System, Brooklyn NY 11209-7104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Douris, Kathleen Rose can be contacted via phone (718) 630-3730.

Contact Information

Primary practice address
800 Poly Pl # 11H New York Harbor Va Health Care System Brooklyn NY 11209-7104
Phone: (718) 630-3730
Fax: (718) 630-2970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301051-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340061-1 New York

Profile Details

NPI number 1053363275
LBN Legal business name Douris, Kathleen Rose
Credentials APRN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 6th, 2011 - about 13 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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