Healthcare Provider Details

I. General information

NPI: 1598013914
Provider Name (Legal Business Name): RAYA DUENAS-VARGA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 PENDELL RD
POUGHKEEPSIE NY
12601-1512
US

IV. Provider business mailing address

53 PENDELL RD
POUGHKEEPSIE NY
12601-1512
US

V. Phone/Fax

Practice location:
  • Phone: 845-431-8075
  • Fax: 888-972-1736
Mailing address:
  • Phone: 845-431-8075
  • Fax: 888-972-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number352701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: