KJERSTEN DIANE DOSUMU

NEW YORK, NY
NPI1508472713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F309675)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NY  F309675-1)
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY  F309675)
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY  f309675-01)
Enumeration Date2020-09-22
Last Update Date2023-05-26
Business Address
KJERSTEN DIANE DOSUMU NP
161 FORT WASHINGTON AVE
NEW YORK, NY 10032-3729
Phone number: 646-317-6041
Mailing Address
KJERSTEN DIANE DOSUMU NP
2098 FREDERICK DOUGLASS BLVD APT 8Q
NEW YORK, NY 10026-2794
Phone number: 385-234-1991