Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | LP01137 | RI |
N | 208600000X | Surgeon | LP01137 | RI |
N | 2086S0120X | Pediatric Surgery | 25MA10291700 | NJ |
Y | 2086S0120X | Pediatric Surgery | 280080 | NY |
NPI | 1578765608 |
---|---|
Provider Name | Vincent Duron |
First Address | New York, NY 10087-7036 |
Second Address | New York, NY 10032-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04240768 | (05) | NY |