Provider Demographics
NPI:1649423419
Name:SETARI, DOROTHY FLORENCE (LPN)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:FLORENCE
Last Name:SETARI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1645
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11582-1645
Mailing Address - Country:US
Mailing Address - Phone:347-527-1304
Mailing Address - Fax:
Practice Address - Street 1:2413 42ND ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-2803
Practice Address - Country:US
Practice Address - Phone:347-527-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116108164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse