Provider Demographics
NPI:1568603736
Name:SICOTTE, DOREEN A (FNP)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:A
Last Name:SICOTTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:A
Other - Last Name:BLANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:NORTHERN WESTCHESTER HOSPITAL CENTER
Mailing Address - Street 2:400 E MAIN STREET MEDICAL AFFAIRS
Mailing Address - City:MT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:914-242-8318
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:SURGICAL SERVICES
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1344
Practice Address - Fax:914-242-8192
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily