Doctor Name: | PAMELA J DOLE |
NPI Number: | 1245444702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, MPH, FNP |
License Number: | 330349 |
Business Practice Address: | 121 W 21 St 0 New York, NY - 10011 |
Business Phone Number: | 2123379290 |
Business Fax Number: | 2123379254 |
Mailing Address: | 108 W 87th St, 2b NEW YORK |
State: | NY |
Postal Code: | 100242943 |
Phone Number: | 2123379290 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 330349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |