Healthcare Provider Details

I. General information

NPI: 1245557156
Provider Name (Legal Business Name): ZEHRA DURAN-ODABAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2010
Last Update Date: 05/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 BARNES AVE APT 3A
BRONX NY
10462-3932
US

IV. Provider business mailing address

1741 BARNES AVE APT 3A
BRONX NY
10462-3932
US

V. Phone/Fax

Practice location:
  • Phone: 646-309-1559
  • Fax:
Mailing address:
  • Phone: 646-309-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number628147
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number628147
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: