MEDICARE: DR. MICHEL DUBOIS M.D.

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	201742	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407858947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHEL DUBOIS M.D.

Provider Business Mailing Address
First Line	:	15 W 72ND ST
Second Line	:	APT 33E
City	:	NEW YORK
State	:	NY
Zip	:	10023-3473
Country	:	US
Telephone Number	:	212-988-0402
Fax Number	:	347-244-7212

Provider Business Practice Location Address
First Line	:	15 W 72ND ST APT 1E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-3419
Country	:	US
Telephone Number	:	212-988-0402
Fax Number	:	347-244-7212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/31/2019

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Directions to “ DR. MICHEL DUBOIS M.D.” Practice Location

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