Provider Demographics
NPI:1376259309
Name:DURAND, CASSANDRA (MS, RN, CNS, AGCNS-B)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:DURAND
Suffix:
Gender:F
Credentials:MS, RN, CNS, AGCNS-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:516-559-1510
Mailing Address - Fax:
Practice Address - Street 1:1101 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1112
Practice Address - Country:US
Practice Address - Phone:516-559-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA658474-01364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology