Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N005504-1 | NY |
NPI | 1003814740 |
---|---|
Provider Name | Dr. Deanna E. Duran |
First Address | Brooklyn, NY 11209-6154 |
Second Address | Brooklyn, NY 11209-6154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 23/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U7370969 | (02) | NM |