Dolitsky, Charisse Allyn

Dolitsky, Charisse Allyn is an individual health care provider with primary practice located at 604 E Park Ave , Long Beach NY 11561-2505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Dolitsky, Charisse Allyn can be contacted via phone (516) 432-0011.

Contact Information

Primary practice address
604 E Park Ave Long Beach NY 11561-2505
Phone: (516) 432-0011
Fax: (516) 889-5681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 168574-1 New York

Profile Details

NPI number 1477510576
LBN Legal business name Dolitsky, Charisse Allyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 5th, 2011 - about 15 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 1477510576 NPPES
Other 7903379002 CIGNA
Other AE01606 CIGNA
Other 19000 CIGNA
Other 2C8727 CIGNA
Other 31F601 CIGNA
MEDICAID 01453456 CIGNA
Other 019530 CIGNA
Other 124428089 CIGNA
Other 070008112 CIGNA
Other 42617 CIGNA
Other P397100 CIGNA
Other 010168574NY01 CIGNA
Other 0300191 CIGNA
Other 23123 CIGNA
Other 69786 CIGNA
Other 73594 CIGNA
Other AETNA/USHEALTHCARE CIGNA

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