Provider Demographics
NPI:1225405301
Name:DURKAN FENCING ACADEMY LLC
Entity Type:Organization
Organization Name:DURKAN FENCING ACADEMY LLC
Other - Org Name:DURKAN NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DURKAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:703-973-2895
Mailing Address - Street 1:200 W 54TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 SADDLE RIVER RD
Practice Address - Street 2:UNIT E
Practice Address - City:SOUTH HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07606-1903
Practice Address - Country:US
Practice Address - Phone:201-880-7029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY996506133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty