Provider Demographics
NPI:1780021485
Name:DURNYEVA, IRYNA B (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:IRYNA
Middle Name:B
Last Name:DURNYEVA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:B
Other - Last Name:DURNYEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:444 NEPTUNE AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4407
Mailing Address - Country:US
Mailing Address - Phone:917-497-2974
Mailing Address - Fax:
Practice Address - Street 1:450 CLARKSON AVE RM B5-485
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-8323
Practice Address - Fax:718-270-1578
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306467-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health