Provider Demographics
NPI:1750712303
Name:DUANY, TERESITA
Entity type:Individual
Prefix:
First Name:TERESITA
Middle Name:
Last Name:DUANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 N BROADWAY
Mailing Address - Street 2:45
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1968
Mailing Address - Country:US
Mailing Address - Phone:914-457-9255
Mailing Address - Fax:
Practice Address - Street 1:455 N BROADWAY
Practice Address - Street 2:45
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1968
Practice Address - Country:US
Practice Address - Phone:914-457-9255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295539-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse