Healthcare Provider Details

I. General information

NPI: 1306764717
Provider Name (Legal Business Name): DAPHNE DURAN NP IN ADULT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 CROMWELL AVE
STATEN ISLAND NY
10305-1308
US

IV. Provider business mailing address

212 CROMWELL AVE
STATEN ISLAND NY
10305-1308
US

V. Phone/Fax

Practice location:
  • Phone: 917-720-8069
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAPHNE DURAN
Title or Position: OWNER
Credential: NP
Phone: 917-720-8069