Doctor Name: | DR. NELLY DUCREPIN |
NPI Number: | 1003074055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 006345 |
Business Practice Address: | 47 Weir St Hempstead, NY - 115507607 |
Business Phone Number: | 9176856441 |
Business Fax Number: | 5164816306 |
Mailing Address: | 47 Weir St, HEMPSTEAD |
State: | NY |
Postal Code: | 115507607 |
Phone Number: | 9176856441 |
Fax Number: | 5164816306 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 02/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 006345 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |