Provider Demographics
NPI:1306042866
Name:CIEPLENSKY, DAWN CAROL (DO)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:CAROL
Last Name:CIEPLENSKY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:141 E 55TH ST
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4030
Mailing Address - Country:US
Mailing Address - Phone:212-465-3175
Mailing Address - Fax:212-813-9476
Practice Address - Street 1:141 E 55TH ST
Practice Address - Street 2:SUITE 7B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4030
Practice Address - Country:US
Practice Address - Phone:212-465-3175
Practice Address - Fax:212-813-9476
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY175323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY175323OtherLICENSE NUMBER
NY175323OtherLICENSE NUMBER