Provider Demographics
NPI:1083348940
Name:DORNEY, EILEEN (PA)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:DORNEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-1716
Mailing Address - Country:US
Mailing Address - Phone:203-727-7140
Mailing Address - Fax:
Practice Address - Street 1:1262 POST RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6010
Practice Address - Country:US
Practice Address - Phone:860-678-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant