Healthcare Provider Details

I. General information

NPI: 1518706621
Provider Name (Legal Business Name): MS. FLORE CHRISTELLE DUCHEINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COON HOLLOW RD
LLOYD HARBOR NY
11743-9723
US

IV. Provider business mailing address

114 RIDGE RD
WHEATLEY HEIGHTS NY
11798-1035
US

V. Phone/Fax

Practice location:
  • Phone: 631-885-8990
  • Fax: 631-935-0006
Mailing address:
  • Phone: 631-926-6569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: