Provider Demographics
NPI:1265218838
Name:DORSAINVILLE, BARBARA CHRISTELE
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CHRISTELE
Last Name:DORSAINVILLE
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 1:528 BEACH 67TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1384
Mailing Address - Country:US
Mailing Address - Phone:917-803-7717
Mailing Address - Fax:
Practice Address - Street 1:6545 FRESH MEADOW LN
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2011
Practice Address - Country:US
Practice Address - Phone:917-803-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator