Provider Demographics
NPI:1659118636
Name:LEVER, DOROTHEA (RN, PHD, CDCES)
Entity type:Individual
Prefix:DR
First Name:DOROTHEA
Middle Name:
Last Name:LEVER
Suffix:
Gender:F
Credentials:RN, PHD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 AIMEE CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-2921
Mailing Address - Country:US
Mailing Address - Phone:845-258-8242
Mailing Address - Fax:845-568-2092
Practice Address - Street 1:19 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1403
Practice Address - Country:US
Practice Address - Phone:845-458-4340
Practice Address - Fax:845-568-2092
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289363-01163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator