Physician Compare National (NPI:1326242769)

HEALTHCARE PROVIDER: MARYELLYN DUANE PH. D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326242769
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527159540
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071109000165
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DUANE
	Individual professional last name
Provider First Name	MARYELLYN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	185 E 85TH ST
	Group Practice or individual's line 1 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100282140
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y