Provider Demographics
NPI:1114363082
Name:AUCOIN, DOUGLAS PATRICK (RN, LMSW)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:PATRICK
Last Name:AUCOIN
Suffix:
Gender:M
Credentials:RN, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PAGE PARK CORPORATE
Mailing Address - Street 2:LEXINGTON CENTER FOR RECOVERY
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-486-2950
Mailing Address - Fax:
Practice Address - Street 1:41 PAGE PARK CORPORATE
Practice Address - Street 2:LEXINGTON CENTER FOR RECOVERY
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-486-2950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564945-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse