Provider Demographics
NPI:1134536428
Name:DAWSON, STEVEN (RN)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 REYNOLDS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3618
Mailing Address - Country:US
Mailing Address - Phone:347-657-1095
Mailing Address - Fax:212-423-7179
Practice Address - Street 1:232 REYNOLDS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3618
Practice Address - Country:US
Practice Address - Phone:347-657-1095
Practice Address - Fax:212-423-7179
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY527722163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse