Provider Demographics
NPI:1619122983
Name:PATRICIA BOYD DUMAS, OTR, P.C.
Entity Type:Organization
Organization Name:PATRICIA BOYD DUMAS, OTR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:845-426-0318
Mailing Address - Street 1:46 HEMPSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2812
Mailing Address - Country:US
Mailing Address - Phone:845-426-0318
Mailing Address - Fax:
Practice Address - Street 1:46 HEMPSTEAD RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2812
Practice Address - Country:US
Practice Address - Phone:845-426-0318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-29
Last Update Date:2008-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002471-1251B00000X, 251C00000X, 251E00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health