Doctor Name: | VANESSA DUTCHIN |
NPI Number: | 1184831224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F 302834-1 |
Business Practice Address: | 560 First Ave Th 183 Nyc, NY - 10016 |
Business Phone Number: | 2122637411 |
Business Fax Number: | |
Mailing Address: | 103-07 29th Ave, East Elmhurst, QUEENS |
State: | NY |
Postal Code: | 11369 |
Phone Number: | 9176566236 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F 302834-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |