=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386553493
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DUMMUZI CHRISTOPHER DUHANEY LMSW
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2026
-----------------------------------------------------
Last Update Date | 09/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 368 ROWINSON DRIVE
-----------------------------------------------------
City | SHIRLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-379-7444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 368 ROWLINSON DR
-----------------------------------------------------
City | SHIRLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11967-1408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-379-7444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 132570
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------