Healthcare Provider Details

I. General information

NPI: 1497219893
Provider Name (Legal Business Name): HELENE MICHEL DUMAS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EASTERN CORRECTIONAL FACILITY 30 INSTITUTION ROAD
NAPANOCH NY
12458-0338
US

IV. Provider business mailing address

PO BOX 338
NAPANOCH NY
12458-0338
US

V. Phone/Fax

Practice location:
  • Phone: 845-647-7400
  • Fax:
Mailing address:
  • Phone: 845-647-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF343242
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: