Provider Demographics
NPI:1851384028
Name:DAY, DORIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 70TH ST
Mailing Address - Street 2:1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4963
Mailing Address - Country:US
Mailing Address - Phone:212-772-0740
Mailing Address - Fax:212-937-9856
Practice Address - Street 1:10 E 70TH ST
Practice Address - Street 2:1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4963
Practice Address - Country:US
Practice Address - Phone:212-772-0740
Practice Address - Fax:212-937-9856
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192672174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07U671OtherBLUE CROSS BLUE SHIELD
NY07U671OtherBLUE CROSS BLUE SHIELD