Provider Demographics
NPI:1497219893
Name:MICHEL DUMAS, HELENE (NP-C)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:MICHEL DUMAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:NAPANOCH
Mailing Address - State:NY
Mailing Address - Zip Code:12458-0338
Mailing Address - Country:US
Mailing Address - Phone:845-647-7400
Mailing Address - Fax:
Practice Address - Street 1:EASTERN CORRECTIONAL FACILITY
Practice Address - Street 2:30 INSTITUTION ROAD
Practice Address - City:NAPANOCH
Practice Address - State:NY
Practice Address - Zip Code:12458-0338
Practice Address - Country:US
Practice Address - Phone:845-647-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF343242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily