Dr. Justin Scott Dolin, MD
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1114656121
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1114656121
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Scott Dolin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
450 Clarkson AveBrooklyn, NY 11203-2012
Phone 516-724-7157
Mailing address
39 Westwood LnWoodbury, NY 11797-2600
Phone 516-724-7157
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