Healthcare Provider Details

I. General information

NPI: 1225975568
Provider Name (Legal Business Name): DR. ANN NKECHINYERE DURU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN NKECHI DURU DNP- PMHNP-BC

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 E 49TH STREET BROOKLYN NY 11203
BROOKLYN NY
11203-5803
US

IV. Provider business mailing address

723 E 49TH STREET BROOKLYN NY 11203
BROOKLYN NY
11203-5803
US

V. Phone/Fax

Practice location:
  • Phone: 646-765-6959
  • Fax:
Mailing address:
  • Phone: 646-765-6959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF408464-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: