TRACY DOURDOUNAS N.P. NPI 1568787752

NPI Information

  • NPI: 1568787752
  • Provider Name: TRACY DOURDOUNAS, N.P.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 CARLETON AVE
    CENTRAL ISLIP, NY
    ZIP 11722
  • Phone: (631) 234-7807

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NPI Details

Tracy Dourdounas, N.P. is a psychiatric/mental health nurse practitioner in Central Islip, NY. Tracy Dourdounas, N.P. NPI is 1568787752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 CARLETON AVE
CENTRAL ISLIP, NY
ZIP 11722-506
Phone: (631) 234-7807

The NPI 1568787752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 12/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health305164NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health405098NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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