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NPI Code Detail

MEDICARE: JEAN MARIE DURKIN CRNA

MEDICARE: JEAN MARIE DURKIN CRNA
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
1367500000XCertified Registered Nurse Anesthetist474716-01NY

General Provider Information

NPI Number : 1649102054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN MARIE DURKIN CRNA
Provider Business Mailing Address
First Line : 6 N HARBOR DOWN
Second Line :
City : MILLER PLACE
State : NY
Zip : 11764-1435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 NICOLLS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11794-0001
Country : US
Telephone Number : 631-444-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JEAN MARIE DURKIN CRNA” Practice Location

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