Provider Demographics
NPI:1679998496
Name:DOGBEH, JOSEPHINE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:JOSEPHINE
Middle Name:
Last Name:DOGBEH
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 1:6 ZABELLA DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-7145
Mailing Address - Country:US
Mailing Address - Phone:718-790-6759
Mailing Address - Fax:
Practice Address - Street 1:6 ZABELLA DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-7145
Practice Address - Country:US
Practice Address - Phone:718-790-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296973-1372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider