Provider Demographics
NPI:1740441401
Name:KRIEGSTEIN, DORIENNE FALINE
Entity type:Individual
Prefix:
First Name:DORIENNE
Middle Name:FALINE
Last Name:KRIEGSTEIN
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 1:1121 N OCEAN BLVD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-4011
Mailing Address - Country:US
Mailing Address - Phone:954-682-3629
Mailing Address - Fax:
Practice Address - Street 1:1121 N OCEAN BLVD
Practice Address - Street 2:UNIT 1
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4011
Practice Address - Country:US
Practice Address - Phone:954-682-3629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program