Provider Demographics
NPI:1487619839
Name:DUMMIT, ELDON STEVEN III (MD)
Entity type:Individual
Prefix:
First Name:ELDON
Middle Name:STEVEN
Last Name:DUMMIT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2050
Mailing Address - Country:US
Mailing Address - Phone:914-773-7423
Mailing Address - Fax:914-773-7447
Practice Address - Street 1:333 ADAMS STREET
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-2001
Practice Address - Country:US
Practice Address - Phone:914-241-0758
Practice Address - Fax:914-242-5152
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1713172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry