Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 002728 | NY |
NPI | 1013004555 |
---|---|
Provider Name | Ms. Karen M Dumont |
First Address | Montour Falls, NY 14865-9740 |
Second Address | Montour Falls, NY 14865-9740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 03/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01271416 | (05) | NY |
27281 | LICENSE (01) | |
R55386 | (02) |