Individual
MS. MARIA Y. DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 PINE GROVE ST, WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES, WOODSTOCK, NY 12498-1507
(845) 679-6678
(845) 679-0324
Mailing address
75 RED MAPLE RD, SAUGERTIES, NY 12477-9327
(914) 388-6221
(845) 679-0324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F332596
NY
363LF0000X
Family Nurse Practitioner
F332596
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401094-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
05
—
02226424
—
NY
Enumeration date
08/31/2006
Last updated
11/20/2019
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