Provider Demographics
NPI:1063836237
Name:TREE, DAWN R (NPP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:R
Last Name:TREE
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MILEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:VERBANK
Mailing Address - State:NY
Mailing Address - Zip Code:12585-5023
Mailing Address - Country:US
Mailing Address - Phone:845-486-5115
Mailing Address - Fax:845-486-5119
Practice Address - Street 1:15 MILEWOOD RD
Practice Address - Street 2:
Practice Address - City:VERBANK
Practice Address - State:NY
Practice Address - Zip Code:12585-5023
Practice Address - Country:US
Practice Address - Phone:845-594-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-09
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401679-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health