Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 18461 | CA |
Y | 363L00000X | Nurse Practitioner | 383082 | NY |
NPI | 1013165943 |
---|---|
Provider Name | Dr. Joana Duran |
First Address | New York, NY 10011-7765 |
Second Address | New York, NY 10010-2913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 11/02/2020 |