Healthcare Provider Details

I. General information

NPI: 1831004886
Provider Name (Legal Business Name): DAVIANA DUENO MSN, RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E 23RD ST
NEW YORK NY
10010-4511
US

IV. Provider business mailing address

PO BOX 740089
BRONX NY
10474-0002
US

V. Phone/Fax

Practice location:
  • Phone: 917-810-0620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408965
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: