Provider Demographics
NPI:1982058483
Name:ULUS, DAPHENEE (FNP)
Entity Type:Individual
Prefix:
First Name:DAPHENEE
Middle Name:
Last Name:ULUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270-05 76TH AVENUE
Mailing Address - Street 2:3RD FLOOR, SUITE 358
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:718-470-7380
Mailing Address - Fax:718-947-8903
Practice Address - Street 1:270-05 76TH AVE
Practice Address - Street 2:3RD FLOOR, SUITE 358
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1402
Practice Address - Country:US
Practice Address - Phone:718-470-7382
Practice Address - Fax:718-347-8903
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily