Provider Demographics
NPI:1134248834
Name:DOGNIN, JOANNA SANDRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:SANDRA
Last Name:DOGNIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:SANDRA
Other - Last Name:LOBOZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:423 E 23RD ST
Mailing Address - Street 2:DEPT OF VA/NY HARBOR HEALTHCARE SYSTEM/MH SERVICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5011
Mailing Address - Country:US
Mailing Address - Phone:212-686-7500
Mailing Address - Fax:
Practice Address - Street 1:423 E 23RD ST
Practice Address - Street 2:DEPT OF VA/NY HARBOR HEALTHCARE SYSTEM/MH SERVICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5011
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015099-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical