Healthcare Provider Details

I. General information

NPI: 1801258835
Provider Name (Legal Business Name): CHRISTY DUAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 W BOSTON POST RD
MAMARONECK NY
10543-3332
US

IV. Provider business mailing address

1214 W BOSTON POST RD
MAMARONECK NY
10543-3332
US

V. Phone/Fax

Practice location:
  • Phone: 332-203-3340
  • Fax: 888-826-0917
Mailing address:
  • Phone: 332-203-3340
  • Fax: 888-826-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number293625-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number293625-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: