Provider Demographics
NPI:1790151546
Name:DU, AN BOI (NP)
Entity Type:Individual
Prefix:
First Name:AN
Middle Name:BOI
Last Name:DU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5856
Mailing Address - Country:US
Mailing Address - Phone:718-491-8918
Mailing Address - Fax:718-491-8915
Practice Address - Street 1:6811 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5856
Practice Address - Country:US
Practice Address - Phone:718-491-8918
Practice Address - Fax:718-491-8915
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8576212163W00000X
NY339445363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse