Provider Demographics
NPI:1982382362
Name:CURATE, TRUDY -ANNE ALICIA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MISS
First Name:TRUDY -ANNE
Middle Name:ALICIA
Last Name:CURATE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1118
Mailing Address - Country:US
Mailing Address - Phone:917-353-1604
Mailing Address - Fax:
Practice Address - Street 1:63 GRAND ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1118
Practice Address - Country:US
Practice Address - Phone:917-353-1604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405144363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health