Individual
THIERRY DUCHATELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 NORTH VILLAGE AVE, SUITE 106 - 108, ROCKVILLE CENTRE, NY 11570
(516) 678-1444
(516) 678-1023
Mailing address
2000 NORTH VILLAGE AVE, SUITE 106 - 108, ROCKVILLE CENTRE, NY 11570
(516) 678-1444
(516) 678-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206601
NY
207RC0000X
Cardiovascular Disease Physician
Primary
206601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768565
—
NY
Enumeration date
08/08/2006
Last updated
07/30/2013
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