Provider Demographics
NPI:1730275991
Name:LOVEJOY, DORIS (CPNP)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CLOVER RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1760
Mailing Address - Country:US
Mailing Address - Phone:914-834-9167
Mailing Address - Fax:718-378-4750
Practice Address - Street 1:853 TIFFANY ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4503
Practice Address - Country:US
Practice Address - Phone:718-860-6169
Practice Address - Fax:718-378-4650
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380323363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics