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Ardouin Coriolan

NPI 1992234942 · on the registry since 2017

Practice

Address: 770 Grand Blvd
Deer Park, NY 11729
Phone: (631) 392-4357
Fax: (631) 364-9850
Organisation at this address: 7 Susan Medical Pc
Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as: 163W00000X
363LF0000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York