Doctor Name: | ELSA DURAN |
NPI Number: | 1023486271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 77 Pinelake Dr West Hempstead, NY - 115523901 |
Business Phone Number: | 6316247449 |
Business Fax Number: | 5165198113 |
Mailing Address: | 8914 250th St, 2 BELLEROSE |
State: | NY |
Postal Code: | 114262318 |
Phone Number: | 3473390602 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2015 |
NPI Last Update Date: | 09/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |