Active NPIIndividual providerSole proprietor

Dorothy Jedlicka, DOROTHY

Specialist in Mahopac, New York

NPI Number1790038826
Practice location
103 Woods Brooke Drive, Mahopac, NY 10541
Fax
—
Last updated
October 26, 2012

Dorothy Jedlicka is a Specialist based in Mahopac, NY. Dorothy Jedlicka practices in Mahopac, NY and has the professional credentials of DOROTHY. The NPI Number for Dorothy Jedlicka is 1790038826. The current practice location address for Dorothy Jedlicka is 103 Woods Brooke Drive, Mahopac, NY 10541 and can be reached out via phone at 845-742-6478.

Provider Profile Details

NPI Number
1790038826
Provider Name
Dorothy Jedlicka
Credential
DOROTHY
Provider Entity Type
Individual
Gender
Female
Address
103 Woods Brooke Drive, Mahopac, NY 10541
Phone Number
845-742-6478
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Other Names
-- Dorothy Jedlicka, DOROTHY (Professional Name)
Provider Enumeration Date
October 26, 2012
Last Update Date
October 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Woods Brooke Drive
Mahopac, NY 10541
Zip
10541
Phone Number
845-742-6478
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
103 Woods Brooke Drive
Mahopac, NY 10541
City
Mahopac
State
NY
Zip
10541

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dorothy Jedlicka, DOROTHY?

The NPI number of Dorothy Jedlicka, DOROTHY is 1790038826. It was assigned on October 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Dorothy Jedlicka, DOROTHY?

Dorothy Jedlicka, DOROTHY is registered under the primary taxonomy Specialist (code 174400000X).

Where does Dorothy Jedlicka, DOROTHY practice?

The practice location is 103 Woods Brooke Drive, Mahopac, NY 10541. The office can be reached at 845-742-6478 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790038826 directly on the NPPES registry website.

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