Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 006345 | NY |
N | 2081S0010X | Sports Medicine | 006345 | NY |
N | 213ES0000X | Sports Medicine | 006345 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 006345 | NY |
NPI | 1003074055 |
---|---|
Provider Name | Dr. Nelly Ducrepin |
First Address | Hempstead, NY 11550-7607 |
Second Address | Hempstead, NY 11550-7607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 09/02/2010 |