Provider Demographics
NPI:1427821248
Name:DLUGINSKI, MADELINE (ATR-BC, LCAT)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:DLUGINSKI
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COMMANDER VIC LN
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-2204
Mailing Address - Country:US
Mailing Address - Phone:631-245-5694
Mailing Address - Fax:
Practice Address - Street 1:16 COMMANDER VIC LN
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2204
Practice Address - Country:US
Practice Address - Phone:631-245-5694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00288501221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist