MEDICARE: MRS. GILBERTE FOUCHE 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
1	207QA0505X	Adult Medicine Physician	230250	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	:	1568942910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GILBERTE FOUCHE NP

Provider Business Mailing Address
First Line	:	317 BROADWAY
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2770
Country	:	US
Telephone Number	:	631-598-4897
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 BROADWAY
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2770
Country	:	US
Telephone Number	:	631-598-4897
Fax Number	:

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

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	08/15/2018

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