Most Relevant Information
Provider Data
| NPI Number: | 1003317132 |
| Provider Name: | JOLENE DORSHEIMER |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2018 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
12657 SENECA RD
IRVING
NY
140819707
Practice Location Phone/Fax
| Phone: | 7169343300 |
| Fax: |
Provider Mailing Location
12657 SENECA RD
IRVING
NY
140819707
Provider Mailing Phone/Fax
| Phone: | 7169343300 |
| Fax: |