Delaney, Doreen

Delaney, Doreen is an individual health care provider with primary practice located at 1110 Hallock Ave , Port Jefferson Station NY 11776-2048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Delaney, Doreen can be contacted via phone (631) 476-9100.

Contact Information

Primary practice address
1110 Hallock Ave Port Jefferson Station NY 11776-2048
Phone: (631) 476-9100
Fax: (631) 476-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0062761 New York

Profile Details

NPI number 1992723167
LBN Legal business name Delaney, Doreen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 28th, 2021 - about 5 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 1992723167 NPPES
New York MEDICAID 05749940

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