Provider Demographics
NPI:1255626404
Name:DOLCINE, NERLINE CASSANDRA
Entity type:Individual
Prefix:MS
First Name:NERLINE
Middle Name:CASSANDRA
Last Name:DOLCINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8825 208TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2258
Mailing Address - Country:US
Mailing Address - Phone:347-623-8695
Mailing Address - Fax:
Practice Address - Street 1:8825 208TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2258
Practice Address - Country:US
Practice Address - Phone:347-623-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2462301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse