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NPI Code Detail

MEDICARE: JUSTINE MERCEDES DUNCAN

MEDICARE:   JUSTINE MERCEDES DUNCAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist022739NY

General Provider Information

NPI Number : 1689531931
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINE MERCEDES DUNCAN
Provider Business Mailing Address
First Line : 60 S OCEAN AVE
Second Line :
City : BAYPORT
State : NY
Zip : 11705-2214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 S OCEAN AVE
Second Line :
City : BAYPORT
State : NY
Zip : 11705-2214
Country : US
Telephone Number : 516-448-8554
Fax Number : 516-448-8554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JUSTINE MERCEDES DUNCAN ” Practice Location

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