| Doctor Name: | CHRISTINE ANNE DORMAN |
| NPI Number: | 1013163641 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F304952-1 |
| Business Practice Address: | 1 Kings Hwy Hauppauge, NY - 117884216 |
| Business Phone Number: | 6313484900 |
| Business Fax Number: | |
| Mailing Address: | 10 Elderberry Rd, DIX HILLS |
| State: | NY |
| Postal Code: | 117465641 |
| Phone Number: | 6313850835 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2008 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F304952-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |