Provider Demographics
NPI:1942593173
Name:HOPTON, DOROTHY W (ANP-BC,MS, RN)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:W
Last Name:HOPTON
Suffix:
Gender:F
Credentials:ANP-BC,MS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W 86TH ST APT 15F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3177
Mailing Address - Country:US
Mailing Address - Phone:917-284-1548
Mailing Address - Fax:
Practice Address - Street 1:219 E 121ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3018
Practice Address - Country:US
Practice Address - Phone:212-987-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305345363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health