Organization Name: | PRECISE NP IN FAMILY HEALTH, P.C. |
NPI Number: | 1063866945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERLANDE PENN DURANDISSE (FNP) |
Mailing Address: | 353 Beach 48th St Far Rockaway |
State: | NY US |
Postal Code: | 116911120 |
Phone Number: | 7184715000 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |