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NPI Code Detail

MEDICARE: MS. LUCIE DUMONT

MEDICARE: MS. LUCIE DUMONT
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
1163W00000XRegistered Nurse557392NY

General Provider Information

NPI Number : 1134443724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCIE DUMONT
Provider Business Mailing Address
First Line : 207 HOLLOCK RD
Second Line : SUITE 201
City : STONY BROOK
State : NY
Zip : 11790
Country : US
Telephone Number : 631-689-8920
Fax Number : 631-689-8955
Provider Business Practice Location Address
First Line : 89 BARTLETT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4463
Country : US
Telephone Number : 718-828-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 06/02/2025

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