Most Relevant Information
Provider Data
| NPI Number: | 1003660515 |
| Provider Name: | PHURBU DOLMA DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2024 |
| Last Updated: | 04/12/2024 |
Provider Practice Location
506 6TH ST
BROOKLYN
NY
112153609
Practice Location Phone/Fax
| Phone: | 3479064725 |
| Fax: |
Provider Mailing Location
3034 84TH ST
EAST ELMHURST
NY
113701923
Provider Mailing Phone/Fax
| Phone: | 3479064725 |
| Fax: |