Provider Demographics
NPI:1639271521
Name:ROYAL, DORIAN ELAINE (ACNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DORIAN
Middle Name:ELAINE
Last Name:ROYAL
Suffix:
Gender:F
Credentials:ACNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 6 BOX 6372A
Mailing Address - Street 2:FIVE SPRINGS ROAD
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-8230
Mailing Address - Country:US
Mailing Address - Phone:570-992-4557
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Practice Address - Street 2:THE MOUNT SINAI HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-6500
Practice Address - Fax:212-987-1323
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2010-07-06
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2010-07-06
Provider Licenses
StateLicense IDTaxonomies
NY4303000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care