Provider Demographics
NPI:1174287247
Name:DOZIER, ADRIAN L (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:ADRIAN
Middle Name:L
Last Name:DOZIER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1368 WEBSTER AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-1849
Mailing Address - Country:US
Mailing Address - Phone:646-226-3996
Mailing Address - Fax:
Practice Address - Street 1:1368 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-1810
Practice Address - Country:US
Practice Address - Phone:646-226-3996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339981-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily