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NPI Code Detail

MEDICARE: DR. NICOLAS DU MONT MD

MEDICARE:  DR. NICOLAS  DU MONT  MD
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
12084P0804XChild & Adolescent Psychiatry Physician179805NY

Other Identifiers

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

General Provider Information

NPI Number : 1881694420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLAS DU MONT MD
Provider Business Mailing Address
First Line : 200 W 70TH ST
Second Line : SUITE 8F
City : NEW YORK
State : NY
Zip : 10023-4323
Country : US
Telephone Number : 212-787-8168
Fax Number :
Provider Business Practice Location Address
First Line : 200 W 70TH ST
Second Line : SUITE 8F
City : NEW YORK
State : NY
Zip : 10023-4323
Country : US
Telephone Number : 212-787-8168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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Directions to “ DR. NICOLAS DU MONT MD” Practice Location

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