Provider Demographics
NPI:1912022385
Name:DOLOWICH, GAYLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:
Last Name:DOLOWICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MOSS LN
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1816
Mailing Address - Country:US
Mailing Address - Phone:516-326-2020
Mailing Address - Fax:516-616-0517
Practice Address - Street 1:20 JERUSALEM AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4980
Practice Address - Country:US
Practice Address - Phone:516-326-2020
Practice Address - Fax:516-616-0517
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY449676-1163WC1500X, 163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health