Provider Demographics
NPI:1629449830
Name:DUHR, JUSTINE (MFA)
Entity Type:Individual
Prefix:MS
First Name:JUSTINE
Middle Name:
Last Name:DUHR
Suffix:
Gender:F
Credentials:MFA
Other - Prefix:MS
Other - First Name:JUSTINE
Other - Middle Name:TAL
Other - Last Name:GOLDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFA
Mailing Address - Street 1:245 E 13TH ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5641
Mailing Address - Country:US
Mailing Address - Phone:914-420-0821
Mailing Address - Fax:
Practice Address - Street 1:245 E 13TH ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5641
Practice Address - Country:US
Practice Address - Phone:914-420-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program