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Individual

KATHIA DUVERNE-DOUYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
107 S COUNTRY RD, BELLPORT, NY 11713-2523
(516) 916-6340
Mailing address
107 S COUNTRY RD, BELLPORT, NY 11713-2523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP28140
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406227
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP028140
PA

Other

Enumeration date
10/19/2023
Last updated
11/12/2024
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