Dora M. Dalgoutte
Individual provider Active NPI Specialist · Highland, NY
NPI 1609300458 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1609300458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 550 RT.299
Hudson Valley Behavioral Solutions Suite 100B-2
Highland, NY 12528-2864 - Phone
- (845) 633-0267
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
550 RT.299
Hudson Valley Behavioral Solutions Suite 100B-2
Highland, NY 12528-2864
Mailing address
500 Route 299 Ste 100B-2
Highland, NY 12528-2864
Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.