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NPI Code Detail

MEDICARE: MS. MARIA Y. DUBOIS NP

MEDICARE:  MS. MARIA Y. DUBOIS  NP
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
1363L00000XNurse PractitionerF332596NY
2363LF0000XFamily Nurse PractitionerF332596NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerF401094-1NY

Other Identifiers

General Provider Information

NPI Number : 1386755650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA Y. DUBOIS NP
Provider Business Mailing Address
First Line : 75 RED MAPLE RD
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-9327
Country : US
Telephone Number : 914-388-6221
Fax Number : 845-679-0324
Provider Business Practice Location Address
First Line : 15 PINE GROVE ST
Second Line : WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES
City : WOODSTOCK
State : NY
Zip : 12498-1507
Country : US
Telephone Number : 845-679-6678
Fax Number : 845-679-0324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/20/2019

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