Lane, Dorothy

Lane, Dorothy is an individual health care provider with primary practice located at 100 Nicolls Road Hsc, L3, Rm 086, Stony Brook NY 11794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Lane, Dorothy can be contacted via phone (631) 444-2197.

Contact Information

Primary practice address
100 Nicolls Road Hsc, L3, Rm 086 Stony Brook NY 11794
Phone: (631) 444-2197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 96934 New York

Profile Details

NPI number 1235351164
LBN Legal business name Lane, Dorothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1235351164 NPPES
New York MEDICAID 00973042

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