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NPI Code Detail

MEDICARE: MS. MARIE DOUYON

MEDICARE: MS. MARIE DOUYON
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
1174400000XSpecialist

General Provider Information

NPI Number : 1245592864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE DOUYON
Provider Business Mailing Address
First Line : 111 LIVINGSTON ST STE 1101
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5068
Country : US
Telephone Number : 718-625-4055
Fax Number : 718-625-4702
Provider Business Practice Location Address
First Line : 111 LIVINGSTON ST STE 1101
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5068
Country : US
Telephone Number : 718-625-4055
Fax Number : 718-625-4702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2012
Last Update Date : 06/20/2012

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Directions to “ MS. MARIE DOUYON ” Practice Location

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