Provider Demographics
NPI:1205402575
Name:DURE, MARIE GUERLINE
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:GUERLINE
Last Name:DURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 LENOX RD APT LL4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2235
Mailing Address - Country:US
Mailing Address - Phone:347-785-2693
Mailing Address - Fax:
Practice Address - Street 1:310 LENOX RD APT LL4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2235
Practice Address - Country:US
Practice Address - Phone:347-785-2693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No174400000XOther Service ProvidersSpecialist