Provider Demographics
NPI:1417218637
Name:DORSCH, JANE (MS, SPED)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:
Last Name:DORSCH
Suffix:
Gender:F
Credentials:MS, SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-5642
Mailing Address - Country:US
Mailing Address - Phone:845-325-4161
Mailing Address - Fax:
Practice Address - Street 1:146 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-5642
Practice Address - Country:US
Practice Address - Phone:845-325-4161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist