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NPI Code Detail

MEDICARE: DR. MICHAEL JOHN DORIA PHD., MPH, MRC, MC

MEDICARE:  DR. MICHAEL JOHN DORIA  PHD., MPH, MRC, MC
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
1101Y00000XCounselor4669SC
2101Y00000XCounselor210101
3101YA0400XAddiction (Substance Use Disorder) Counselor00071051
4101YM0800XMental Health CounselorCC3015ME
5101YM0800XMental Health Counselor003308-1NY

General Provider Information

NPI Number : 1487017828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOHN DORIA PHD., MPH, MRC, MC
Provider Business Mailing Address
First Line : 173 HUGUENOT ST STE 200
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-7710
Country : US
Telephone Number : 914-246-4100
Fax Number : 888-301-8044
Provider Business Practice Location Address
First Line : 173 HUGUENOT ST STE 200
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-7710
Country : US
Telephone Number : 914-246-4100
Fax Number : 888-301-8044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2016
Last Update Date : 05/19/2020

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Directions to “ DR. MICHAEL JOHN DORIA PHD., MPH, MRC, MC” Practice Location

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