Provider Demographics
NPI:1396208377
Name:DURAN, CECILIA (CNM)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 PROSPECT PL APT 5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3838
Mailing Address - Country:US
Mailing Address - Phone:857-234-3847
Mailing Address - Fax:
Practice Address - Street 1:168 PROSPECT PL APT 5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3838
Practice Address - Country:US
Practice Address - Phone:857-234-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife