Provider Demographics
NPI:1326217381
Name:DOSHNER, PAMELA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:DOSHNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:291 BROADWAY
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1814
Mailing Address - Country:US
Mailing Address - Phone:212-962-2262
Mailing Address - Fax:
Practice Address - Street 1:291 BROADWAY
Practice Address - Street 2:SUITE 1105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1814
Practice Address - Country:US
Practice Address - Phone:212-962-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70011582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor