Provider Demographics
NPI:1528217932
Name:DOGAN-MOHAMMED, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:DOGAN-MOHAMMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 MONTGOMERY ST
Mailing Address - Street 2:APT. 2K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5660
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:899 MONTGOMERY ST
Practice Address - Street 2:APT. 2K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5660
Practice Address - Country:US
Practice Address - Phone:917-674-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY526633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse