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NPI Code Detail

MEDICARE: MS. MONICA DURAN

MEDICARE: MS. MONICA DURAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist030764NY
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1356954291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA DURAN
Provider Business Mailing Address
First Line : 2438 93RD ST
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11369-1127
Country : US
Telephone Number : 347-204-2119
Fax Number :
Provider Business Practice Location Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number : 855-345-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2020
Last Update Date : 01/10/2025

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Directions to “ MS. MONICA DURAN ” Practice Location

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