Provider Demographics
NPI:1972244119
Name:DUKHOVNY, DARYA (MS,RN,FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DARYA
Middle Name:
Last Name:DUKHOVNY
Suffix:
Gender:F
Credentials:MS,RN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 BEVERLEY RD APT 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3117
Mailing Address - Country:US
Mailing Address - Phone:646-327-1813
Mailing Address - Fax:
Practice Address - Street 1:6910 11TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1298
Practice Address - Country:US
Practice Address - Phone:718-836-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349396363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily