Healthcare Provider Details

I. General information

NPI: 1962645663
Provider Name (Legal Business Name): YVETTE A'LEX DUCHEIN ANP/GNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 HUDSON ST
NEW YORK NY
10014-3669
US

IV. Provider business mailing address

395 HUDSON ST
NEW YORK NY
10014-3669
US

V. Phone/Fax

Practice location:
  • Phone: 646-688-3145
  • Fax: 212-463-8579
Mailing address:
  • Phone: 646-688-3145
  • Fax: 212-463-8579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number30304943
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number34340718
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: