Provider Demographics
NPI:1811215304
Name:DURLING, DAVID D (RN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:DURLING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HOLLANDALE LN APT J
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-5285
Mailing Address - Country:US
Mailing Address - Phone:518-257-2404
Mailing Address - Fax:
Practice Address - Street 1:36 HOLLANDALE LN APT J
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-5285
Practice Address - Country:US
Practice Address - Phone:518-257-2404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY454834-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse